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Missouri 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
$1,760.00 / $4,470.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,891.91 / $2,262.06 / $3,541.53
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,247.00 / $9,663.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,926.00 / $2,460.79 / $3,774.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,006.51 / $2,797.41 / $4,765.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,651.80 / $2,889.80 / $6,289.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,038.60 / $3,004.80 / $24,626.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,156.00 / $4,000.00 / $10,781.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,019.53 / $2,819.97 / $4,818.81