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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
$173.78 / $223.87 / $223.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $199.53 / $331.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $1,230.27 / $3,548.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $457.09 / $758.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $831.76 / $1,949.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $602.56 / $954.99
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $794.33 / $1,548.82
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $562.34 / $891.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $331.13 / $645.65
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $389.05 / $1,258.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $1,659.59 / $2,951.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $331.13 / $660.69