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West Virginia rates for HCPCS 21387

Open treatment of orbital floor blowout fracture; combined approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$745.94 / $1,153.25 / $2,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$745.94 / $802.32 / $1,058.69
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$804.19 / $893.10 / $973.05
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$443.69 / $864.94 / $864.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$863.37 / $863.37 / $863.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$734.78 / $1,081.16 / $2,008.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$593.71 / $876.39 / $1,247.03