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Delaware rates for HCPCS 21401

Closed Tx Fx Orbit Except Blowout W/Manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,736.00 / $4,736.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.75 / $452.86 / $517.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$721.24 / $721.24 / $721.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.52 / $436.58 / $809.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,320.00 / $1,320.00 / $1,320.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.77 / $508.72 / $1,173.77