go back

Rhode Island rates for HCPCS 21401

Closed Tx Fx Orbit Except Blowout W/Manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,424.15 / $3,243.94 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.48 / $461.14 / $735.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.70 / $521.33 / $900.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.13 / $638.88 / $1,009.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,812.00 / $4,049.00 / $5,510.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.50 / $629.02 / $1,085.48