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Florida rates for HCPCS 21263

Periorbital Osteotomies W/Bone Grafts W/Forehead

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,500.00 / $4,594.00 / $11,576.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,699.96 / $2,082.85 / $2,909.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.00 / $400.00 / $10,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,795.91 / $2,714.36 / $4,246.35
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,979.00 / $12,804.00 / $23,031.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$850.33 / $1,779.76 / $2,464.67
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.59 / $1,602.10 / $2,845.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,581.00 / $10,309.00 / $15,888.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,552.84 / $2,212.51 / $4,310.17
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,472.15 / $1,472.15 / $1,865.67