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Mississippi rates for HCPCS 21386

Open Tx Orbital Floor Blowout Fx Periorbital

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$619.55 / $1,328.55 / $2,825.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$606.53 / $710.11 / $1,501.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,118.87 / $3,118.87 / $3,118.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,416.00 / $1,416.00 / $1,416.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $1,000.00 / $6,486.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$655.22 / $1,029.19 / $1,394.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$985.00 / $3,572.00 / $9,515.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$585.27 / $780.36 / $1,502.06