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Arkansas rates for HCPCS 21088

Impression & Preparation Facial Prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,386.41 / $2,079.61 / $3,868.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$804.30 / $1,386.41 / $3,303.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,893.49 / $2,893.49 / $3,472.19
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
$3,140.74 / $4,584.78 / $5,712.67
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
$2,239.37 / $3,587.42 / $5,841.22