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Tennessee 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
$312.26 / $2,303.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.94 / $191.91 / $318.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$764.00 / $1,504.00 / $2,257.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.53 / $237.18 / $374.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.16 / $243.64 / $375.96
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,196.76 / $1,213.26 / $16,394.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,253.59 / $1,594.80 / $1,888.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$294.00 / $794.00 / $2,577.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.43 / $218.65 / $417.40