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Missouri 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
$1,760.00 / $5,389.00 / $9,823.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$619.66 / $740.60 / $1,160.35
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,247.00 / $9,663.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$668.91 / $863.90 / $1,313.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$687.62 / $959.67 / $1,633.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$681.63 / $1,110.90 / $4,763.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$718.74 / $1,014.97 / $5,410.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,156.00 / $4,000.00 / $10,781.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$700.93 / $934.57 / $1,606.92