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Minnesota 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
$172.33 / $222.83 / $2,384.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.89 / $215.63 / $290.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$689.23 / $1,121.70 / $2,158.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.45 / $532.41 / $776.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$551.40 / $782.35 / $1,882.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$361.19 / $587.77 / $950.85
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.27 / $715.26 / $1,481.94
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.15 / $535.41 / $867.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$185.07 / $333.50 / $588.58
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.49 / $408.36 / $1,271.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$382.00 / $1,727.00 / $2,883.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.49 / $374.61 / $764.75