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Nationwide rates for HCPCS 21395

Open treatment of orbital floor blowout fracture; periorbital approach with bone graft (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $5,754.40 / $14,125.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,047.13 / $2,511.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.89 / $10,964.78 / $21,379.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,230.27 / $2,398.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $1,995.26 / $7,244.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,445.44 / $3,090.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $7,244.36 / $16,218.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,148.15 / $2,187.76