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North Carolina 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

Facilitymedian $4,786 · 10th–90th $1,202–$12,5890%10%10th90th$4,786Professionalmedian $1,738 · 10th–90th $1,738–$2,5120%20%40%90th$1,738$1.0K$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,659.59 / $6,918.31 / $11,481.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$602.56 / $602.56 / $5,248.07
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,737.80 / $1,737.80 / $2,511.89
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,071.52 / $1,445.44 / $2,290.87
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,677.35 / $11,748.98 / $19,498.45
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,995.26 / $16,982.44 / $16,982.44