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New York rates for HCPCS 21387

Open treatment of orbital floor blowout fracture; combined approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$992.71 / $5,157.00 / $11,396.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$696.21 / $798.91 / $1,497.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,046.00 / $7,264.00 / $12,538.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$652.42 / $852.85 / $1,797.46
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.51 / $1,096.51 / $12,319.50
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.51 / $1,096.51 / $1,096.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$863.37 / $863.37 / $863.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$745.38 / $1,163.40 / $2,842.37
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $1,019.00 / $2,024.48
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$833.82 / $1,177.20 / $1,736.56
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$716.03 / $716.03 / $716.03
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$621.29 / $913.66 / $1,611.72
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $597.00 / $863.37
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$788.39 / $1,158.45 / $2,670.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,264.00 / $5,963.00 / $14,457.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$696.29 / $976.67 / $2,517.77
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$913.66 / $913.66 / $3,477.00
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$637.10 / $997.85 / $1,931.33