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Florida 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
$364.08 / $3,276.00 / $10,843.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.94 / $418.20 / $592.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$494.00 / $655.25 / $780.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.41 / $497.58 / $866.55
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,578.00 / $4,823.00 / $9,635.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.61 / $343.24 / $541.87
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.48 / $378.10 / $673.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,014.00 / $3,611.00 / $8,105.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$352.77 / $499.05 / $939.60
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.10 / $378.95 / $378.95