go back

Indiana rates for HCPCS 21365

Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including zygomatic arch and malar tripod; with internal fixation and multiple surgical approaches

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $4,897.79 / $16,218.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,317.64 / $19,952.62 / $27,542.29
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $1,096.48 / $1,230.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $1,737.80 / $2,454.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $9,549.93 / $16,218.10