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Mississippi 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
$183.74 / $750.00 / $1,831.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.04 / $183.74 / $393.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$290.14 / $290.14 / $290.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.00 / $249.00 / $249.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$252.32 / $282.47 / $1,124.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.51 / $257.32 / $365.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$216.00 / $491.00 / $1,650.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.96 / $211.09 / $422.73