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Colorado 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
$2,551.00 / $5,503.00 / $10,651.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,978.66 / $2,237.46 / $3,193.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,946.00 / $9,472.00 / $17,487.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,339.00 / $3,140.10 / $5,074.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,095.98 / $2,882.84 / $4,521.47
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,125.60 / $2,625.29 / $3,803.70
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,436.85 / $3,212.21 / $4,430.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,251.00 / $11,924.00 / $19,712.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,164.55 / $3,156.95 / $5,590.44