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Wyoming rates for HCPCS 21261

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,417.48 / $2,456.67 / $3,140.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,006.39 / $5,006.39 / $5,006.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,632.00 / $5,558.00 / $8,408.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,741.77 / $4,176.35 / $6,710.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,188.00 / $5,188.00 / $18,767.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,495.44 / $4,953.71 / $7,857.20