go back

Utah rates for HCPCS 21385

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

Facilitymedian $6,026 · 10th–90th $3,162–$11,2200%10%10th90th$6,026Professionalmedian $977 · 10th–90th $661–$3,9810%10%10th90th$977$50.0$200.0$1.0K$5.0K$20.0K

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$977.24 / $6,025.60 / $9,332.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$676.08 / $977.24 / $4,570.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $933.25 / $1,548.82
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $1,202.26
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,511.38 / $11,481.54 / $17,782.79
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$912.01 / $1,230.27 / $1,737.80
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$691.83 / $1,348.96 / $1,778.28
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$707.95 / $1,071.52 / $1,659.59
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,202.26 / $5,128.61 / $13,803.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $741.31 / $1,202.26