go back

Georgia rates for HCPCS 21387

Open Tx Orbital Floor Blowout Fx Combined Appr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,196.32 / $5,063.00 / $7,421.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$688.31 / $834.75 / $1,981.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,240.00 / $3,931.95 / $8,545.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$752.33 / $1,082.19 / $1,967.54
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,319.37 / $1,595.45 / $2,170.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $863.37 / $2,500.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$780.36 / $1,184.75 / $1,951.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$833.15 / $1,136.11 / $2,561.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,738.00 / $7,794.00 / $14,048.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.14 / $1,024.07 / $1,718.12