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Kansas 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
$3,131.00 / $7,655.00 / $13,151.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,027.54 / $2,262.06 / $3,541.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,705.43 / $3,182.86 / $3,182.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$624.00 / $624.00 / $624.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,098.42 / $2,834.19 / $4,000.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,838.00 / $2,918.22 / $5,693.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,030.93 / $2,675.72 / $24,626.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,967.00 / $4,960.00 / $11,732.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,030.93 / $2,675.72 / $3,769.27