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Vermont rates for HCPCS 21387

Open Tx Orbital Floor Blowout Fx Combined Appr

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$904.43 / $912.64 / $912.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$827.66 / $1,302.14 / $1,759.39
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.34 / $1,163.31 / $1,759.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$946.46 / $1,105.05 / $3,212.45