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Massachusetts 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
$477.66 / $2,663.12 / $4,410.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.48 / $477.66 / $735.94
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.65 / $2,376.00 / $8,498.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$374.90 / $822.32 / $3,668.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$403.19 / $518.10 / $924.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$412.56 / $716.30 / $1,324.72
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$337.02 / $735.18 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$593.10 / $723.60 / $1,004.04
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.10 / $916.97 / $1,447.65
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,640.00 / $3,372.00 / $26,542.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$528.64 / $1,071.53 / $3,668.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,640.00 / $3,372.00 / $8,425.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$477.43 / $753.32 / $1,719.47