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Alabama rates for HCPCS 21401

Closed treatment of fracture of orbit, except blowout; with manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $1,445.44 / $2,238.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $467.74 / $870.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $1,513.56 / $2,041.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $478.63 / $724.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $562.34 / $562.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $489.78 / $1,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $1,737.80 / $3,090.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $426.58 / $741.31