go back

Indiana rates for HCPCS 21386

Open treatment of orbital floor blowout fracture; periorbital approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$643.72 / $4,846.00 / $16,042.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.63 / $643.72 / $871.07
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,852.40 / $10,338.00 / $26,304.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.40 / $865.80 / $1,194.80
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$666.71 / $878.49 / $1,317.74
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$627.49 / $784.36 / $1,129.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$654.15 / $862.86 / $1,418.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,472.00 / $10,113.00 / $15,750.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$559.71 / $726.03 / $1,308.95