go back

Wyoming 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
$737.41 / $744.09 / $960.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,006.39 / $5,006.39 / $5,006.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,409.00 / $1,691.00 / $2,557.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$925.64 / $1,388.47 / $2,047.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,188.00 / $5,188.00 / $18,767.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$810.48 / $1,503.10 / $2,394.60