go back

Kentucky rates for HCPCS 21387

Open Tx Orbital Floor Blowout Fx Combined Appr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$635.86 / $896.00 / $8,229.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$635.86 / $735.58 / $864.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,212.00 / $9,015.00 / $11,253.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.65 / $729.72 / $984.50
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$685.40 / $981.15 / $1,210.18
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$770.90 / $981.15 / $1,401.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$810.79 / $863.37 / $863.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$736.93 / $1,008.60 / $1,391.91
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $911.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$842.00 / $4,539.00 / $10,113.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$673.90 / $947.17 / $1,460.75