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Rhode Island rates for HCPCS 21263

Periorbital Osteotomies W/Bone Grafts W/Forehead

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,706.14 / $3,706.14 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,757.39 / $2,472.02 / $2,909.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,926.82 / $2,666.88 / $3,631.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,598.32 / $3,164.36 / $4,714.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,219.00 / $7,228.00 / $12,680.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,854.27 / $3,067.04 / $4,944.82