go back

Connecticut rates for HCPCS 21385

Open Tx Orbital Floor Blowout Fx Transantral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,943.00 / $7,629.00 / $13,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.90 / $765.68 / $1,899.74
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,920.00 / $13,227.00 / $15,915.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$657.16 / $1,310.63 / $1,810.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,212.00 / $2,212.00 / $2,212.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$951.01 / $1,281.96 / $1,881.08
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,330.14 / $4,873.00 / $4,974.00
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$634.36 / $1,013.72 / $1,269.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,644.00 / $8,468.00 / $13,943.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$669.33 / $1,200.19 / $2,182.89