go back

Connecticut 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
$290.80 / $4,884.27 / $8,031.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.56 / $197.89 / $434.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,410.00 / $6,763.00 / $11,797.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.02 / $300.08 / $425.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$737.00 / $748.11 / $748.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.79 / $295.79 / $503.33
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,340.80 / $1,643.00 / $1,677.00
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.11 / $271.29 / $339.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.00 / $3,075.00 / $6,664.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.31 / $329.21 / $586.50