go back

Oklahoma 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
$1,346.00 / $3,742.00 / $18,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,864.05 / $2,352.96 / $2,379.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,593.86 / $3,074.21 / $3,781.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $900.00 / $900.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,071.37 / $2,715.68 / $3,299.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,012.00 / $2,799.01 / $8,753.15
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,850.00 / $2,373.61 / $24,626.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,481.00 / $5,910.00 / $9,232.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,815.84 / $2,219.98 / $3,515.32