go back

Maine rates for HCPCS 21263

Periorbital Osteotomies W/Bone Grafts W/Forehead

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,757.39 / $2,366.62 / $2,886.16
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,351.21 / $3,042.75 / $4,267.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,276.25 / $3,312.07 / $4,857.64
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,785.65 / $3,223.00 / $4,944.25
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,757.39 / $2,236.06 / $2,886.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,030.19 / $2,785.65 / $3,555.04