go back

Alaska rates for HCPCS 21386

Open treatment of orbital floor blowout fracture; periorbital approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,236.00 / $9,813.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$641.66 / $3,364.34 / $3,435.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,692.75 / $2,165.54 / $2,969.50
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$653.97 / $3,364.34 / $4,710.08
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,703.05 / $2,043.66 / $4,148.82
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,497.50 / $3,221.56 / $4,170.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$653.97 / $3,364.34 / $4,710.08
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,026.10 / $3,196.80 / $4,413.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,732.42 / $3,464.84 / $3,811.32