go back

New York 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
$835.64 / $5,157.00 / $11,396.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$591.69 / $670.40 / $1,235.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,046.00 / $7,264.00 / $12,538.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.17 / $686.52 / $1,546.65
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$906.03 / $906.03 / $12,319.50
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$906.03 / $906.03 / $906.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$731.70 / $731.70 / $731.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$640.85 / $990.20 / $2,306.01
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $929.00 / $1,692.92
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$710.40 / $988.07 / $1,452.15
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$610.04 / $610.04 / $610.04
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$532.19 / $771.56 / $1,361.05
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $597.00 / $731.70
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$658.85 / $966.79 / $2,281.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,264.00 / $5,963.00 / $14,457.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$587.50 / $817.38 / $1,993.11
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$771.56 / $771.56 / $2,897.35
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$533.23 / $850.17 / $1,630.96