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Massachusetts rates for HCPCS 21386

Open treatment of orbital floor blowout fracture; periorbital approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $3,715.35 / $6,918.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $724.44 / $1,862.09
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $3,981.07 / $13,803.84
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $1,023.29 / $6,025.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,047.13 / $1,905.46
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $1,380.38 / $7,079.46
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $891.25 / $1,230.27
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $6,165.95 / $13,182.57
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $1,202.26 / $1,995.26
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $3,981.07 / $13,803.84
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $1,023.29 / $6,025.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $6,309.57 / $13,803.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $1,023.29 / $1,995.26