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Kentucky 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
$667.98 / $1,243.00 / $10,695.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,212.00 / $9,015.00 / $11,253.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$720.62 / $1,023.25 / $1,180.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$834.09 / $903.02 / $903.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$842.00 / $4,539.00 / $10,113.00