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Rhode Island rates for HCPCS 21385

Open treatment of orbital floor blowout fracture; transantral approach (Caldwell-Luc type operation)

Facilitymedian $3,981 · 10th–90th $3,467–$12,3030%10%20%10th90th$3,981Professionalmedian $692 · 10th–90th $603–$1,5850%20%40%10th90th$692$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,467.37 / $3,715.35 / $3,981.07
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602.56 / $676.08 / $1,862.09
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $741.31 / $1,380.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$912.01 / $1,071.52 / $1,548.82
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,235.94 / $7,413.10 / $13,182.57
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$645.65 / $891.25 / $1,659.59