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Maryland rates for HCPCS 21387

Open Tx Orbital Floor Blowout Fx Combined Appr

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$688.31 / $762.49 / $883.05
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$809.66 / $838.88 / $1,010.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$507.00 / $507.00 / $641.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$702.06 / $972.01 / $1,764.14
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$804.33 / $1,037.58 / $1,358.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$847.00 / $847.00 / $1,560.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$606.86 / $873.01 / $1,507.07
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$703.51 / $924.98 / $1,138.31