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Florida rates for HCPCS 21395

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

Facilitymedian $6,607 · 10th–90th $1,230–$15,1360%10%10th90th$6,607Professionalmedian $1,047 · 10th–90th $832–$1,7780%20%10th90th$1,047$50.0$200.0$1.0K$5.0K$20.0K

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,202.26 / $5,128.61 / $11,481.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$851.14 / $1,047.13 / $1,778.28
AvMed
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,445.44 / $6,165.95 / $12,882.50
AvMed
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$776.25 / $977.24 / $1,122.02
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$323.59 / $398.11 / $10,000.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$812.83 / $1,258.93 / $1,995.26
Florida Blue
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,456.54 / $13,489.63 / $23,988.33
Florida Blue
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $724.44 / $1,023.29
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $1,445.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,311.31 / $9,549.93 / $15,848.93
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$724.44 / $1,023.29 / $1,949.84
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$776.25 / $776.25 / $1,047.13