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Arizona rates for HCPCS 21401

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

Facilitymedian $3,311 · 10th–90th $631–$6,6070%5%10%10th90th$3,311Professionalmedian $479 · 10th–90th $295–$1,0470%10%10th90th$479$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,089.30 / $3,890.45 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $467.74 / $1,047.13
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$630.96 / $2,818.38 / $5,128.61
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $602.56 / $1,318.26
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $478.63 / $851.14
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$316.23 / $512.86 / $2,398.83
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $645.65 / $3,801.89
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,288.25 / $1,659.59 / $4,677.35
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $426.58 / $758.58