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Arkansas 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
$1,179.69 / $1,846.00 / $9,477.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$900.97 / $1,197.11 / $1,379.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,430.62 / $5,430.62 / $6,516.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,061.10 / $1,326.38 / $1,404.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,070.49 / $1,477.83 / $1,860.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,565.00 / $2,828.00 / $6,957.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$904.45 / $1,132.60 / $1,890.88