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Mississippi 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
$446.68 / $1,513.56 / $2,570.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $457.09 / $794.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $691.83 / $691.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $478.63 / $676.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $676.08 / $1,122.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $549.54 / $870.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $1,513.56 / $3,090.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $467.74 / $933.25