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Maryland rates for HCPCS 21385

Open Tx Orbital Floor Blowout Fx Transantral

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$659.62 / $730.73 / $846.65
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$753.48 / $804.85 / $885.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$641.21 / $641.21 / $1,335.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.47 / $913.99 / $1,693.07
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$769.92 / $993.20 / $1,301.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$847.00 / $847.00 / $1,560.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$582.46 / $883.72 / $1,605.85
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$672.30 / $885.41 / $1,089.85