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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
$478.63 / $3,090.30 / $5,128.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $478.63 / $954.99
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $2,754.23 / $45,708.82
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $616.60 / $1,584.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $407.38 / $912.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $676.08 / $1,288.25
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $707.95 / $7,079.46
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $794.33 / $1,096.48
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $3,630.78 / $8,511.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $691.83 / $1,412.54
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $2,754.23 / $45,708.82
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $616.60 / $1,584.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $3,630.78 / $8,511.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $645.65 / $1,412.54