go back

Maine rates for HCPCS 21386

Open Tx Orbital Floor Blowout Fx Periorbital

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$576.02 / $727.50 / $825.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$722.90 / $935.52 / $1,329.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$709.74 / $1,032.39 / $1,493.45
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$868.09 / $1,004.38 / $1,540.77
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$576.02 / $775.48 / $825.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$627.59 / $936.60 / $1,393.63