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Indiana 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
$543.74 / $1,397.41 / $14,063.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$510.76 / $543.74 / $734.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,852.40 / $10,338.00 / $26,304.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$455.05 / $624.70 / $862.08
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$540.80 / $742.29 / $1,113.44
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$530.21 / $636.25 / $954.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,909.74 / $3,909.74 / $4,634.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$551.29 / $708.97 / $1,183.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,472.00 / $10,113.00 / $15,750.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$468.32 / $615.92 / $1,084.61