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North Carolina rates for HCPCS 21387

Open Tx Orbital Floor Blowout Fx Combined Appr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$747.89 / $1,245.00 / $12,615.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$726.19 / $799.16 / $1,396.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,587.38 / $4,587.38 / $4,654.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$839.20 / $1,131.28 / $2,037.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.10 / $606.10 / $606.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$822.22 / $1,078.84 / $1,872.46
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$747.89 / $921.98 / $1,515.72
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$884.00 / $884.00 / $987.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $1,003.40 / $2,004.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,183.00 / $12,216.00 / $19,066.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$655.02 / $908.07 / $1,896.70
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $11,953.99 / $13,960.05
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,296.79 / $8,296.79 / $8,296.79