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Maryland rates for HCPCS 21263

Periorbital Osteotomies W/Bone Grafts W/Forehead

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,978.66 / $2,227.84 / $2,573.69
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,016.66 / $2,016.66 / $3,025.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$507.00 / $507.00 / $641.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,886.40 / $2,575.78 / $5,092.39
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,340.60 / $3,019.37 / $3,945.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$847.00 / $847.00 / $1,560.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,545.06 / $2,281.13 / $4,385.33
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,818.43 / $2,691.69 / $3,313.61