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Delaware 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
$3,949.00 / $3,949.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.04 / $181.25 / $213.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$299.56 / $299.56 / $299.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.96 / $193.56 / $343.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.00 / $143.00 / $143.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.60 / $193.26 / $458.17