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Michigan rates for HCPCS 21401

Closed treatment of fracture of orbit, except blowout; with manipulation

Facilitymedian $4,074 · 10th–90th $631–$4,8980%20%10th90th$4,074Professionalmedian $479 · 10th–90th $302–$7590%10%10th90th$479$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$630.96 / $4,073.80 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $457.09 / $758.58
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$316.23 / $316.23 / $316.23
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $758.58 / $758.58
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $478.63 / $891.25
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$524.81 / $4,073.80 / $4,897.79
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $575.44 / $1,047.13
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $478.63 / $724.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,230.27 / $2,630.27 / $5,623.41
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $467.74 / $660.69