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Hawaii 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
$2,747.00 / $3,107.00 / $8,431.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$896.63 / $978.14 / $1,141.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $2,912.00 / $2,912.00