go back

Iowa rates for HCPCS 21386

Open Tx Orbital Floor Blowout Fx Periorbital

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,693.00 / $5,549.00 / $7,943.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$613.87 / $1,042.84 / $1,090.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,221.81 / $1,564.43 / $1,955.54
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$637.54 / $1,012.59 / $2,356.92
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,090.41 / $1,679.23 / $12,206.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$684.81 / $1,319.81 / $6,008.36
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,211.00 / $1,532.75 / $2,072.62
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,053.49 / $1,532.75 / $2,072.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,221.00 / $8,060.00 / $11,869.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$653.67 / $996.08 / $1,865.44
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,067.69 / $1,351.50 / $1,590.00