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Kentucky 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
$137.13 / $219.60 / $5,320.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.38 / $174.09 / $219.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.00 / $2,316.00 / $4,066.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.75 / $125.57 / $201.76
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.31 / $217.71 / $251.14
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.06 / $219.27 / $349.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.93 / $286.14 / $286.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.47 / $224.90 / $345.94
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $254.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $668.00 / $3,176.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.13 / $223.20 / $365.15