go back

Nebraska 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
$4,241.22 / $10,431.19 / $21,899.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$671.34 / $671.34 / $3,953.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,086.90 / $11,951.75 / $23,118.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.58 / $1,100.41 / $1,467.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,081.00 / $1,657.15 / $2,231.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$671.34 / $1,174.84 / $8,632.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$911.37 / $1,431.41 / $2,073.40
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$798.16 / $1,617.17 / $2,271.28
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,139.00 / $1,449.64 / $2,231.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,178.00 / $7,441.00 / $8,816.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$911.37 / $1,507.26 / $1,865.09