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Washington, DC rates for HCPCS 21263

Periorbital Osteotomies W/Bone Grafts W/Forehead

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,017.00 / $2,080.00 / $7,727.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,338.21 / $2,338.21 / $2,338.21
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.00 / $2,513.00 / $3,025.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,219.29 / $3,004.23 / $6,252.60
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,465.88 / $5,120.97 / $5,120.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,261.00 / $4,165.00 / $26,408.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,648.06 / $3,010.92 / $6,200.12