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Arizona rates for HCPCS 21408

Open treatment of fracture of orbit, except blowout; with bone grafting (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,671.00 / $3,819.00 / $6,329.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$739.47 / $870.17 / $4,765.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$944.35 / $3,555.20 / $5,814.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$939.16 / $1,073.33 / $1,341.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$769.90 / $1,053.72 / $1,768.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$861.62 / $1,153.11 / $7,140.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$757.52 / $972.36 / $7,152.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,637.00 / $6,477.00 / $9,010.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$756.30 / $897.24 / $1,731.93