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Kentucky rates for HCPCS 21386

Open treatment of orbital floor blowout fracture; periorbital approach

Facilitymedian $8,511 · 10th–90th $724–$10,7150%10%20%10th90th$8,511Professionalmedian $708 · 10th–90th $575–$1,2590%20%10th90th$708$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$660.69 / $3,630.78 / $10,471.29
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $707.95 / $1,318.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,912.51 / $10,715.19 / $11,220.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549.54 / $660.69 / $977.24
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$645.65 / $870.96 / $1,202.26
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$707.95 / $851.14 / $1,047.13
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $1,174.90 / $1,174.90
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$691.83 / $1,023.29 / $4,168.69
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $549.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$851.14 / $6,025.60 / $10,471.29
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562.34 / $776.25 / $1,288.25