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West 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
$884.48 / $1,368.22 / $1,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$876.62 / $941.14 / $1,337.64
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$951.76 / $1,059.58 / $1,154.44
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$526.53 / $1,026.17 / $1,026.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,017.38 / $1,017.38 / $1,017.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$867.75 / $1,256.04 / $2,547.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$674.46 / $1,059.85 / $1,410.98