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Virginia 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
$1,014.72 / $4,771.00 / $9,539.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$834.16 / $941.14 / $1,196.74
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,153.00 / $7,363.00 / $9,410.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$833.47 / $1,065.82 / $1,762.12
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$916.00 / $1,068.36 / $2,019.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $900.00 / $1,017.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$865.85 / $1,114.56 / $1,989.09
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$860.70 / $1,101.70 / $1,296.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$927.22 / $1,190.85 / $1,761.91
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,116.00 / $1,270.00 / $1,748.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$848.97 / $1,146.57 / $3,953.34
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$848.97 / $1,146.57 / $3,953.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,423.00 / $11,475.00 / $21,639.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$674.46 / $1,069.13 / $1,722.26