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North Carolina 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
$716.70 / $1,410.00 / $12,615.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$693.33 / $765.68 / $1,337.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.98 / $1,114.24 / $1,954.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.10 / $606.10 / $606.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$770.70 / $1,028.78 / $1,761.56
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$716.70 / $869.75 / $1,426.28
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$845.00 / $845.00 / $945.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $961.20 / $1,869.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,183.00 / $12,216.00 / $19,066.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$627.28 / $872.27 / $1,816.39
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $11,953.99 / $13,960.05
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,296.72 / $5,296.72 / $6,258.90