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Alaska rates for HCPCS 21385

Open treatment of orbital floor blowout fracture; transantral approach (Caldwell-Luc type operation)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,236.00 / $9,813.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$681.37 / $3,545.17 / $3,545.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,809.86 / $2,437.35 / $3,153.10
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$688.76 / $3,545.17 / $4,963.24
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,796.85 / $2,156.21 / $4,377.34
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,706.25 / $3,668.60 / $4,412.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$688.76 / $3,545.17 / $4,963.24
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,078.35 / $3,438.75 / $4,835.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$910.13 / $2,941.60 / $4,289.74