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Texas 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
$969.00 / $3,682.00 / $12,281.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,032.42 / $2,433.89 / $3,828.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,244.39 / $3,258.37 / $5,456.77
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $2,122.41 / $2,156.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,718.09 / $2,718.09 / $2,718.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,242.42 / $3,151.78 / $4,672.54
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $33,109.68
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18,636.00 / $18,636.00 / $20,577.45
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,241.81 / $2,819.62 / $4,687.50
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,954.45 / $3,545.34 / $4,396.22
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,437.50 / $2,437.50 / $2,437.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,252.85 / $2,841.06 / $4,843.75
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,288.19 / $3,280.32 / $4,906.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,093.00 / $6,000.00 / $13,134.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,851.58 / $2,566.69 / $3,998.39
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,017.23 / $2,291.94 / $3,183.61