go back

Idaho rates for HCPCS 21386

Open treatment of orbital floor blowout fracture; periorbital approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,675.90 / $5,519.00 / $23,002.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$699.11 / $946.10 / $1,408.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$763.21 / $1,046.65 / $1,212.19
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$655.66 / $1,214.28 / $1,704.07
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,124.01 / $1,226.20 / $1,615.57
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $963.67 / $1,212.34
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,660.78 / $14,097.25 / $17,807.80
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,181.20 / $1,389.65 / $1,615.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,100.00 / $10,120.00 / $27,159.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$702.71 / $973.96 / $1,386.02