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Missouri 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
$223.73 / $3,213.00 / $7,365.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.61 / $186.59 / $339.99
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,247.00 / $9,663.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.16 / $178.00 / $259.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.27 / $240.22 / $398.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.58 / $253.34 / $961.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.42 / $303.20 / $1,625.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.00 / $760.00 / $1,300.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.24 / $244.99 / $413.44