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Massachusetts 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
$187.71 / $2,663.12 / $3,625.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.96 / $187.71 / $290.80
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$410.15 / $1,027.76 / $3,445.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.00 / $379.96 / $1,594.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.13 / $272.58 / $486.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.43 / $331.45 / $623.15
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$179.51 / $386.80 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.26 / $315.08 / $437.82
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.84 / $467.31 / $638.47
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.00 / $1,818.00 / $16,394.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.72 / $417.35 / $1,594.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.00 / $1,818.00 / $2,733.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.27 / $295.11 / $667.62