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Alabama rates for HCPCS 21387

Open Tx Orbital Floor Blowout Fx Combined Appr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$960.00 / $1,678.00 / $2,250.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$646.82 / $703.77 / $1,220.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,945.68 / $7,197.72 / $9,683.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$694.23 / $951.00 / $1,219.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.26 / $843.78 / $2,438.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,485.00 / $4,121.00 / $7,227.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$609.83 / $751.65 / $1,308.06