go back

Kentucky 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
$860.00 / $2,001.40 / $8,229.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,757.39 / $2,086.75 / $2,517.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,212.00 / $9,015.00 / $11,253.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,528.01 / $1,915.97 / $2,659.80
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,998.51 / $2,865.90 / $3,306.02
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,251.78 / $2,865.90 / $4,094.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,970.74 / $2,513.88 / $2,513.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,923.52 / $2,732.90 / $3,724.47
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $2,661.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$842.00 / $4,539.00 / $10,113.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,898.89 / $2,670.86 / $4,276.46