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Georgia rates for HCPCS 21386

Open Tx Orbital Floor Blowout Fx Periorbital

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,052.30 / $5,063.00 / $7,421.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$613.87 / $758.22 / $1,775.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,240.00 / $3,931.95 / $8,545.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$687.52 / $972.81 / $1,775.62
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.68 / $1,448.22 / $1,970.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $783.40 / $2,500.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$704.23 / $1,084.34 / $1,760.26
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$756.27 / $1,094.99 / $2,295.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,738.00 / $7,794.00 / $14,048.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$574.57 / $882.04 / $1,556.98