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Georgia 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
$1,201.78 / $5,917.00 / $10,801.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,540.00 / $4,412.76 / $8,545.91
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,369.55 / $1,654.43 / $2,250.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$903.02 / $903.02 / $4,013.65
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$863.95 / $1,252.83 / $1,946.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,738.00 / $7,794.00 / $14,048.00