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Washington, DC rates for HCPCS 21387

Open Tx Orbital Floor Blowout Fx Combined Appr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,017.00 / $4,100.00 / $7,007.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$802.32 / $802.32 / $802.32
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$838.88 / $838.88 / $10,912.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$764.38 / $1,145.01 / $2,139.14
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$849.31 / $1,761.31 / $1,761.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,261.00 / $4,165.00 / $26,408.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.11 / $1,032.10 / $2,132.48