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West Virginia rates for HCPCS 21401

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

Facilitymedian $479 · 10th–90th $316–$1,6980%20%10th90th$479Professionalmedian $457 · 10th–90th $302–$7080%10%20%10th90th$457$200.0$500.0$1.0K$2.0K

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
$316.23 / $478.63 / $1,698.24
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $457.09 / $575.44
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$346.74 / $346.74 / $416.87
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $371.54 / $371.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$562.34 / $562.34 / $1,862.09
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $549.54 / $2,398.83
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,230.27 / $1,230.27 / $4,365.16
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $416.87 / $691.83