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Mississippi rates for HCPCS 21387

Open Tx Orbital Floor Blowout Fx Combined Appr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$685.22 / $1,469.34 / $2,825.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$681.44 / $745.96 / $1,660.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,118.87 / $3,118.87 / $3,118.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,298.00 / $1,298.00 / $1,298.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $1,000.00 / $6,486.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$725.25 / $1,199.59 / $1,552.39
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$985.00 / $3,572.00 / $9,515.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.14 / $876.39 / $1,727.58