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Arkansas rates for HCPCS 21142

Reconstruction midface, LeFort I; 2 pieces, segment movement in any direction, without bone graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,277.00 / $1,702.77 / $9,034.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,198.75 / $1,449.31 / $1,967.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,456.73 / $1,820.91 / $1,928.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,520.84 / $2,063.91 / $2,551.15
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
$1,241.16 / $1,640.61 / $2,615.05