go back

Kansas rates for HCPCS 21387

Open Tx Orbital Floor Blowout Fx Combined Appr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,000.00 / $6,560.00 / $13,151.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$696.21 / $773.12 / $1,211.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.00 / $691.00 / $691.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$942.22 / $1,108.49 / $1,108.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$624.00 / $624.00 / $624.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$764.62 / $995.40 / $1,512.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$773.12 / $1,211.30 / $5,323.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$781.29 / $951.13 / $8,296.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,967.00 / $4,960.00 / $11,732.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$781.29 / $931.55 / $1,289.83