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Wisconsin rates for HCPCS 21261

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

Facilitymedian $10,233 · 10th–90th $5,012–$16,9820%5%10%10th90th$10,233Professionalmedian $3,467 · 10th–90th $2,188–$10,4710%10%20%10th90th$3,467$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,344.23 / $4,897.79 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,187.76 / $2,398.83 / $6,025.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,606.93 / $10,964.78 / $18,197.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,454.71 / $4,897.79 / $11,748.98
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,165.95 / $7,244.36 / $11,481.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,691.53 / $9,772.37 / $10,964.78
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,344.23 / $5,011.87 / $10,232.93
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,265.80 / $5,754.40 / $7,079.46
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,398.83 / $5,011.87 / $15,135.61
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,398.83 / $3,890.45 / $18,620.87
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $70.79
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,265.80 / $9,332.54 / $15,848.93
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,951.21 / $5,128.61 / $10,232.93
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,467.37 / $5,248.07 / $7,585.78
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,120.11 / $33,113.11 / $33,113.11
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,265.80 / $11,748.98 / $18,620.87
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,762.47 / $7,762.47 / $7,762.47
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,918.31 / $13,489.63 / $15,135.61
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,585.78 / $12,022.64 / $15,848.93
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,290.87 / $3,548.13 / $10,000.00