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Colorado 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
$2,506.00 / $6,886.00 / $11,529.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,946.00 / $9,472.00 / $17,487.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,178.55 / $4,178.55 / $13,162.66
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$802.89 / $1,018.82 / $1,445.20
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$874.43 / $1,152.66 / $1,589.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,251.00 / $11,924.00 / $19,712.00