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Rhode Island 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
$2,398.83 / $3,235.94 / $3,981.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $457.09 / $954.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $457.09 / $851.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $588.84 / $1,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $4,073.80 / $6,165.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $501.19 / $977.24