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North Carolina rates for HCPCS 21263

Periorbital Osteotomies W/Bone Grafts W/Forehead

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,615.00 / $2,194.98 / $7,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,086.75 / $2,236.06 / $4,084.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,838.61 / $3,838.61 / $5,484.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,739.76 / $3,100.73 / $5,451.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.10 / $606.10 / $606.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,164.82 / $2,954.16 / $4,850.93
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,033.00 / $2,445.27 / $4,141.51
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,441.00 / $2,441.00 / $2,872.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $2,913.70 / $4,965.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,183.00 / $12,216.00 / $19,066.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,857.48 / $2,614.21 / $5,416.13
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $20,420.48 / $20,420.48
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24,626.21 / $24,626.21 / $24,626.21