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Alaska rates for HCPCS 21395

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

Facilitymedian $1,862 · 10th–90th $955–$12,0230%10%10th90th$1,862Professionalmedian $1,413 · 10th–90th $933–$4,1690%10%20%10th90th$1,413$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,344.23 / $14,125.38 / $22,387.21
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$933.25 / $1,288.25 / $2,691.53
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,047.13 / $1,479.11 / $3,388.44
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$933.25 / $1,412.54 / $5,370.32
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,778.28 / $2,884.03 / $5,248.07
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,073.80 / $4,073.80 / $5,754.40
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$933.25 / $1,380.38 / $5,370.32
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $1,380.38 / $3,388.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,754.40 / $5,754.40 / $12,022.64
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$954.99 / $2,691.53 / $5,888.44