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Tennessee 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
$1,148.15 / $2,691.53 / $6,456.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $758.58 / $1,513.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,951.21 / $6,606.93 / $9,772.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,047.13 / $1,698.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $977.24 / $1,513.56
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $13,803.84 / $13,803.84
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,248.07 / $6,309.57 / $6,309.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $5,754.40 / $10,232.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $831.76 / $1,445.44