go back

New Mexico rates for HCPCS 21386

Open treatment of orbital floor blowout fracture; periorbital approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$702.74 / $7,838.38 / $8,644.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$613.87 / $702.74 / $2,797.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,345.93 / $15,935.67 / $25,966.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$655.03 / $982.55 / $1,234.48
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,079.01
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$661.97 / $834.45 / $1,731.80
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$698.99 / $1,015.30 / $1,699.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$899.00 / $11,259.00 / $16,897.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$720.41 / $975.99 / $1,517.13