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Texas 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
$969.00 / $3,682.00 / $12,281.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,882.01 / $2,242.06 / $3,535.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,076.38 / $3,012.58 / $5,039.57
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $1,970.65 / $2,000.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,513.88 / $2,513.88 / $2,513.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,040.73 / $2,853.36 / $4,222.01
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $20,420.48
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24,626.21 / $24,626.21 / $24,626.21
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,950.90 / $2,492.87 / $4,498.34
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,732.48 / $3,278.97 / $4,065.92
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,327.60 / $2,327.60 / $2,327.60
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,954.47 / $2,505.69 / $5,019.25
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,112.59 / $2,978.56 / $4,534.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,093.00 / $6,000.00 / $13,134.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,669.83 / $2,255.88 / $3,607.89
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,865.67 / $2,118.90 / $2,945.01