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Hawaii rates for HCPCS 21400

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

Facilitymedian $3,890 · 10th–90th $1,148–$3,8900%50%10th$3,890Professionalmedian $275 · 10th–90th $166–$4,4670%10%10th90th$275$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,513.56 / $3,890.45 / $3,890.45
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $213.80 / $346.74
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $263.03 / $354.81
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $302.00 / $2,398.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $288.40 / $363.08
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,071.52 / $1,071.52 / $1,071.52
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $199.53 / $288.40
University Health Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $1,995.26 / $5,370.32