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Kansas 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
$1,700.00 / $4,387.00 / $10,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.89 / $215.71 / $339.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.35 / $209.82 / $260.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$442.00 / $442.00 / $442.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.36 / $232.94 / $398.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.89 / $265.79 / $948.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.55 / $258.17 / $1,625.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$191.00 / $550.00 / $1,769.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.03 / $232.46 / $348.30