go back

West Virginia rates for HCPCS 21385

Open Tx Orbital Floor Blowout Fx Transantral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$714.31 / $1,102.29 / $2,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$714.31 / $769.33 / $1,012.66
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$769.34 / $853.64 / $930.06
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$424.17 / $826.72 / $826.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$826.55 / $826.55 / $826.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$703.85 / $1,027.41 / $1,920.24
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73,648.71 / $73,648.71 / $73,648.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.44 / $803.81 / $1,163.85