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Alaska 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
$2,321.14 / $11,709.00 / $20,143.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$749.97 / $3,936.74 / $5,511.44
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$749.97 / $3,936.74 / $5,511.44