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California 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
$890.91 / $9,639.00 / $20,509.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$753.85 / $890.91 / $4,765.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $9,447.00 / $18,544.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,014.94 / $1,271.14 / $2,472.08
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $6,336.71
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$689.37 / $992.78 / $2,253.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,203.00 / $3,203.00 / $3,203.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$873.46 / $1,132.63 / $2,452.85
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$470.59 / $712.14 / $1,306.40
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$834.60 / $1,173.97 / $2,102.06
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $5,037.30 / $13,960.05
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,152.58 / $7,152.58 / $7,700.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$941.14 / $1,162.35 / $1,687.25
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$881.91 / $1,168.56 / $2,403.48
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,956.94 / $2,956.94 / $2,956.94
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$611.76 / $847.06 / $1,159.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,142.00 / $12,377.00 / $26,451.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$706.59 / $942.12 / $2,015.75