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Kentucky 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
$271.35 / $496.89 / $2,747.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.35 / $397.88 / $521.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,643.00 / $3,498.00 / $8,517.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.79 / $272.83 / $405.27
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$298.63 / $424.30 / $489.46
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.88 / $433.88 / $681.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$306.82 / $557.65 / $557.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.39 / $492.29 / $887.69
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $587.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$523.00 / $1,450.00 / $5,301.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$414.18 / $615.70 / $1,011.24