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Vermont rates for HCPCS 21385

Open Tx Orbital Floor Blowout Fx Transantral

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$861.60 / $861.60 / $866.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$792.66 / $1,249.01 / $1,686.13
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$778.14 / $1,114.64 / $1,686.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$887.17 / $1,059.03 / $3,078.68