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Nationwide rates for HCPCS 21390

Open treatment of orbital floor blowout fracture; periorbital approach, with alloplastic or other implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $5,888.44 / $14,454.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.89 / $10,964.78 / $21,379.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $2,454.71 / $5,888.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $7,244.36 / $16,218.10