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Vermont rates for HCPCS 21385

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $870.96 / $1,819.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $1,023.29 / $1,698.24
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,023.29 / $1,202.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,047.13 / $3,090.30