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West Virginia rates for HCPCS 21386

Open treatment of orbital floor blowout fracture; periorbital approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$675.71 / $1,050.54 / $2,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$672.70 / $722.68 / $1,042.84
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$731.58 / $813.56 / $886.40
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$404.26 / $787.91 / $787.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$783.40 / $783.40 / $783.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$654.15 / $954.98 / $1,964.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$513.32 / $769.98 / $1,050.54