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Vermont rates for HCPCS 21400

Closed treatment of fracture of orbit, except blowout; without manipulation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $204.17 / $436.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $257.04 / $398.11
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $275.42 / $371.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $234.42 / $501.19