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Hawaii rates for HCPCS 21407

Open treatment of fracture of orbit, except blowout; with implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $6,025.60 / $6,025.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $660.69 / $912.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $776.25 / $912.01
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,000.00 / $5,011.87
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $707.95 / $891.25
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
$512.86 / $741.31 / $1,047.13
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $794.33 / $12,882.50