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Arizona 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
$1,965.00 / $3,819.00 / $7,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.82 / $425.80 / $1,715.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$672.35 / $2,531.19 / $4,140.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.63 / $507.41 / $681.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.91 / $483.31 / $839.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.35 / $507.25 / $2,086.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.05 / $561.63 / $3,776.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.00 / $2,567.00 / $5,029.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$396.10 / $502.52 / $978.14