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Hawaii rates for HCPCS 21406

Open treatment of fracture of orbit, except blowout; without implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $5,495.41 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $588.84 / $831.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $691.83 / $812.83
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $912.01 / $5,011.87
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $676.08 / $831.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $2,884.03 / $2,884.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $630.96 / $954.99
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $575.44 / $812.83