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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
$1,965.00 / $4,521.00 / $7,963.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$581.98 / $706.74 / $3,953.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,763.75 / $6,640.00 / $10,860.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$763.44 / $872.50 / $1,090.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$638.15 / $863.30 / $1,430.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$694.74 / $951.23 / $7,140.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$609.15 / $776.88 / $5,410.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,637.00 / $6,477.00 / $9,010.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$597.11 / $722.00 / $1,428.17