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Iowa 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
$1,148.15 / $5,248.07 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $758.58 / $1,819.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $1,698.24 / $2,137.96
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $1,023.29 / $2,238.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $1,862.09 / $14,454.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,348.96 / $5,370.32
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,737.80 / $1,995.26
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $1,348.96 / $1,995.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,413.10 / $10,964.78 / $15,848.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,071.52 / $2,041.74
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,412.54 / $1,659.59