go back

North Carolina 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
$204.17 / $575.44 / $7,244.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $204.17 / $436.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $281.84 / $478.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $524.81 / $524.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $239.88 / $446.68
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $245.47 / $489.78
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $223.87 / $363.08
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $380.19 / $501.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $724.44 / $1,949.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $190.55 / $371.54
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $28,840.32
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $1,584.89 / $1,905.46