go back

Louisiana 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
$241.29 / $1,372.00 / $3,685.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.39 / $229.03 / $314.97
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$479.05 / $1,027.53 / $2,287.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.69 / $255.89 / $341.68
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $167.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$725.00 / $725.00 / $725.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.47 / $248.99 / $369.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.00 / $543.00 / $1,560.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.70 / $214.65 / $396.58