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Alabama rates for HCPCS 21263

Periorbital Osteotomies W/Bone Grafts W/Forehead

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$960.00 / $1,728.00 / $3,586.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,761.72 / $2,044.52 / $3,586.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,931.14 / $7,197.72 / $9,683.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.96 / $2,552.00 / $3,271.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,888.46 / $2,340.98 / $6,712.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,485.00 / $4,121.00 / $7,227.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,780.21 / $2,151.36 / $3,560.42