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West Virginia 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
$620.16 / $971.94 / $2,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$620.16 / $673.19 / $966.50
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$683.13 / $752.69 / $820.07
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.99 / $728.95 / $728.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$731.70 / $731.70 / $731.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$618.01 / $911.18 / $1,807.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$490.33 / $830.95 / $1,006.07