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Pennsylvania 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
$976.00 / $3,830.00 / $8,240.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$516.91 / $562.16 / $854.31
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,639.91 / $11,851.00 / $26,582.19
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$584.24 / $606.29 / $1,044.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$662.14 / $662.14 / $662.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.03 / $684.55 / $1,130.28
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$692.58 / $934.30 / $1,196.28
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,306.10 / $13,306.10 / $13,306.10
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.00 / $4,597.00 / $8,404.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.23 / $608.87 / $3,066.93
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.00 / $616.00 / $1,199.90
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$662.14 / $662.14 / $662.14
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$506.99 / $694.00 / $1,146.39
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.91 / $569.55 / $569.55
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.91 / $569.55 / $605.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,332.00 / $3,879.00 / $7,508.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$502.88 / $674.11 / $1,093.71