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Florida rates for HCPCS 21387

Open treatment of orbital floor blowout fracture; combined approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$703.77 / $4,268.00 / $11,901.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$620.83 / $747.62 / $1,001.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.00 / $400.00 / $10,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$626.61 / $958.33 / $1,555.84
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,979.00 / $12,804.00 / $23,031.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.09 / $695.05 / $843.91
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.42 / $556.73 / $965.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,581.00 / $10,309.00 / $15,888.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$569.16 / $796.39 / $1,494.94
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$550.66 / $550.66 / $703.51