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Tennessee 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
$1,100.00 / $2,678.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$510.76 / $570.07 / $928.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,695.00 / $5,467.00 / $9,283.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$548.13 / $757.44 / $1,232.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$567.52 / $769.70 / $1,184.40
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $16,547.20 / $16,547.20
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,007.80 / $5,007.80 / $5,016.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,905.00 / $6,073.00 / $10,287.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$513.52 / $636.10 / $1,217.80