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Delaware 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
$2,060.98 / $11,301.90 / $68,807.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,200.76 / $3,200.76 / $3,200.76
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,550.70 / $11,199.91 / $12,918.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,530.00 / $2,530.00 / $2,530.00