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Arizona rates for HCPCS 21263

Periorbital Osteotomies W/Bone Grafts W/Forehead

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,671.00 / $3,819.00 / $6,329.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,580.70 / $2,027.54 / $12,003.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,310.70 / $4,934.39 / $8,070.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,320.89 / $2,652.45 / $3,315.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,798.15 / $2,583.92 / $4,355.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,027.54 / $2,767.73 / $7,168.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,691.91 / $2,297.89 / $24,626.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,637.00 / $6,477.00 / $9,010.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,685.70 / $2,170.41 / $4,405.77