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Alaska rates for HCPCS 21263

Periorbital osteotomies for orbital hypertelorism, with bone grafts; with forehead advancement

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,419.45 / $10,900.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,086.75 / $10,887.59 / $10,887.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,551.29 / $7,477.90 / $9,608.18
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,086.75 / $10,887.59 / $15,242.63
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,464.95 / $6,557.94 / $13,313.26
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,227.50 / $10,676.10 / $13,424.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,099.26 / $10,887.59 / $15,242.63
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,305.36 / $9,865.50 / $14,605.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,982.32 / $10,469.06 / $13,161.10