go back

Louisiana rates for HCPCS 21386

Open treatment of orbital floor blowout fracture; periorbital approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$802.03 / $2,447.00 / $5,150.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$631.82 / $836.49 / $1,130.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,783.10 / $8,724.31 / $12,170.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$740.79 / $894.19 / $1,242.77
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $615.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $400.00 / $400.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$666.52 / $917.39 / $1,296.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,141.00 / $4,717.00 / $11,696.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$577.74 / $741.69 / $1,273.09