go back

West Virginia 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
$853.93 / $9,834.91 / $11,889.85
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$838.70 / $923.15 / $1,005.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$903.02 / $903.02 / $903.02