go back

Indiana rates for HCPCS 21385

Open Tx Orbital Floor Blowout Fx Transantral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$682.62 / $2,318.00 / $16,042.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$608.83 / $682.62 / $932.94
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,852.40 / $10,338.00 / $26,304.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$600.85 / $863.90 / $1,192.18
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$675.33 / $926.93 / $1,390.40
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$662.09 / $827.61 / $1,191.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$699.92 / $895.81 / $1,488.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,472.00 / $10,113.00 / $15,750.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$603.69 / $789.69 / $1,437.87