go back

South 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
$239.88 / $6,025.60 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $199.53 / $416.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $1,778.28 / $3,162.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $190.55 / $275.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $446.68 / $776.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $234.42 / $426.58
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $245.47 / $489.78
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $234.42 / $416.87
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $1,230.27 / $3,548.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $186.21 / $295.12