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Arkansas rates for HCPCS 21025

Excision Bone Mandible

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$898.71 / $1,218.00 / $3,109.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$648.77 / $898.71 / $1,234.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,430.62 / $5,430.62 / $6,516.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$708.34 / $937.50 / $1,117.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,337.37 / $4,337.37 / $4,337.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$697.28 / $1,208.85 / $1,459.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,565.00 / $2,828.00 / $6,957.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$742.56 / $1,066.04 / $1,513.55