go back

Montana rates for HCPCS 21385

Open Tx Orbital Floor Blowout Fx Transantral

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.64 / $1,051.95 / $3,953.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,043.92 / $1,043.92 / $1,043.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,159.91 / $1,159.91 / $1,159.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$583.85 / $1,141.30 / $1,159.91
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$573.99 / $789.24 / $1,159.91
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$704.58 / $1,141.30 / $1,524.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,041.44 / $1,208.47 / $1,424.27