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Ohio 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
$206.29 / $2,532.00 / $9,516.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.94 / $189.03 / $350.69
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,051.00 / $2,150.00 / $3,943.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.10 / $135.82 / $250.25
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.00 / $192.50 / $255.68
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.82 / $283.58 / $127,498.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.98 / $241.84 / $354.48
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$286.14 / $286.14 / $286.14
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.25 / $245.01 / $356.12
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.53 / $157.11 / $272.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$444.00 / $965.00 / $2,914.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.22 / $235.53 / $388.17