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Rhode Island 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
$3,706.14 / $3,706.14 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$824.38 / $1,152.41 / $1,337.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$779.49 / $1,078.88 / $1,754.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,123.83 / $1,465.89 / $1,874.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,219.00 / $7,228.00 / $12,680.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$824.99 / $1,121.58 / $1,989.97