go back

New Mexico rates for HCPCS 21387

Open treatment of orbital floor blowout fracture; combined approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$780.14 / $7,838.38 / $8,644.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$696.21 / $780.14 / $2,944.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,345.93 / $15,935.67 / $25,966.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$715.54 / $1,103.23 / $1,387.79
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,186.23
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$711.36 / $933.32 / $2,116.80
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$735.48 / $1,140.00 / $1,885.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$899.00 / $11,259.00 / $16,897.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$811.08 / $1,106.50 / $1,696.51