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Arkansas 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
$185.18 / $1,074.00 / $3,109.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.94 / $185.71 / $255.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$464.60 / $464.60 / $557.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.57 / $239.00 / $304.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$768.90 / $768.90 / $768.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.52 / $250.06 / $337.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.00 / $330.00 / $768.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.85 / $228.31 / $390.20