go back

Rhode Island rates for HCPCS 21340

Percutaneous treatment of nasoethmoid complex fracture, with splint, wire or headcap fixation, including repair of canthal ligaments and/or the nasolacrimal apparatus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,993.72 / $3,706.14 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$697.83 / $964.30 / $1,192.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$652.10 / $902.57 / $1,450.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$940.18 / $1,260.92 / $1,546.12
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
$674.73 / $1,058.65 / $1,645.31