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Alabama rates for HCPCS 21401

Closed Tx Fx Orbit Except Blowout W/Manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$700.00 / $1,268.00 / $2,250.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.00 / $445.85 / $796.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,226.08 / $1,484.28 / $1,996.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.48 / $470.00 / $677.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.12 / $484.38 / $1,003.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$625.00 / $1,768.00 / $3,360.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.39 / $484.80 / $824.16