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Tennessee rates for HCPCS 21261

Periorbital osteotomies for orbital hypertelorism, with bone grafts; combined intra- and extracranial approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,258.00 / $4,069.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,903.12 / $2,373.00 / $3,879.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,984.00 / $6,563.00 / $9,553.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,211.79 / $2,960.40 / $4,695.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,320.89 / $3,166.25 / $4,983.92
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $33,109.68 / $33,817.44
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18,636.00 / $18,636.00 / $20,577.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,905.00 / $6,073.00 / $10,287.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,024.44 / $2,697.18 / $5,213.50