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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
$1,288.25 / $5,370.32 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $602.56 / $1,380.38
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,549.93 / $10,000.00 / $57,543.99
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $602.56 / $1,000.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $977.24 / $977.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $676.08 / $1,148.15
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $870.96 / $1,122.02
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $676.08 / $1,096.48
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,182.57 / $13,182.57 / $13,182.57
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $4,570.88 / $8,511.38
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $812.83 / $1,659.59
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $660.69 / $1,202.26
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $794.33 / $1,122.02
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $575.44 / $588.84
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $588.84 / $588.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $4,466.84 / $18,197.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $645.65 / $1,096.48