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Alaska rates for HCPCS 21400

Closed treatment of fracture of orbit, except blowout; without manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$583.69 / $7,340.00 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.62 / $786.16 / $989.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.34 / $503.56 / $934.82
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.25 / $786.16 / $1,385.93
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.35 / $649.20 / $1,304.55
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$634.70 / $893.70 / $1,157.09
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.08 / $841.46 / $1,385.93
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.50 / $853.10 / $1,157.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.02 / $853.67 / $1,095.78