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Arizona 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
$2,089.30 / $4,786.30 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $741.31 / $2,238.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $5,370.32 / $7,943.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,047.13 / $1,905.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $851.14 / $1,445.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $1,023.29 / $7,244.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $851.14 / $5,370.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $6,025.60 / $8,709.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $741.31 / $1,318.26