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Minnesota rates for HCPCS 21263

Periorbital Osteotomies W/Bone Grafts W/Forehead

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,231.36 / $2,231.36 / $2,231.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,176.44 / $2,237.46 / $3,528.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,610.82 / $13,463.87 / $23,682.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,885.16 / $6,258.94 / $7,933.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,376.77 / $7,628.86 / $18,352.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,028.25 / $6,416.91 / $9,530.09
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,887.97 / $6,974.60 / $14,450.59
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,647.05 / $5,737.15 / $8,739.65
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,262.06 / $3,775.59 / $7,872.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,444.82 / $4,145.91 / $9,081.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,940.00 / $7,872.00 / $11,531.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,314.00 / $4,145.91 / $8,663.68