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California rates for HCPCS 21387

Open treatment of orbital floor blowout fracture; combined approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,421.00 / $8,870.00 / $19,368.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$620.83 / $737.42 / $4,123.99
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $9,447.00 / $18,544.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$854.64 / $1,045.48 / $2,111.67
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $6,336.71
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.94 / $878.01 / $1,973.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,277.00 / $2,277.00 / $2,277.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$715.54 / $937.20 / $2,109.59
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$505.96 / $765.66 / $1,122.71
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$725.07 / $1,000.56 / $1,795.68
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $5,695.76 / $13,960.05
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,296.79 / $8,296.79 / $8,296.79
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$800.64 / $996.78 / $1,525.02
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$725.10 / $990.21 / $2,041.39
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,558.86 / $2,558.86 / $2,558.86
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$657.74 / $815.76 / $997.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,142.00 / $12,377.00 / $26,451.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$603.63 / $790.97 / $1,748.70