go back

Vermont rates for HCPCS 21408

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,096.48 / $2,238.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,230.27 / $2,041.74
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,258.93 / $1,479.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,288.25 / $3,715.35