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Vermont rates for HCPCS 21386

Open Tx Orbital Floor Blowout Fx Periorbital

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$808.18 / $808.18 / $815.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$750.00 / $1,164.45 / $1,468.06
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$679.35 / $977.70 / $1,468.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$825.92 / $922.07 / $2,680.52