go back

Washington, DC 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
$551.32 / $3,999.00 / $6,456.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.79 / $348.79 / $551.32
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.92 / $361.23 / $4,930.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.15 / $661.69 / $1,476.05
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$773.44 / $1,206.55 / $1,206.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$808.00 / $1,171.00 / $26,408.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.38 / $680.96 / $1,460.81