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West Virginia 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
$155.21 / $252.19 / $1,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.21 / $196.48 / $290.80
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$178.45 / $195.31 / $212.79
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.48 / $189.14 / $189.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$286.14 / $286.14 / $286.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.38 / $237.00 / $515.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.56 / $203.48 / $316.00