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Arizona rates for HCPCS 21386

Open treatment of orbital floor blowout fracture; periorbital approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,965.00 / $4,521.00 / $7,963.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$548.85 / $654.65 / $3,435.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,763.75 / $6,640.00 / $10,860.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$723.30 / $826.63 / $1,033.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$580.14 / $792.39 / $1,374.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$665.08 / $885.02 / $7,140.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$572.90 / $719.28 / $6,008.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,637.00 / $6,477.00 / $9,010.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$566.08 / $674.28 / $1,311.11