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Arkansas rates for HCPCS 21143

Rcnstj Midface Lefort I 3/> Piece W/O Bone Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,277.00 / $1,782.00 / $9,034.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,275.61 / $1,712.95 / $2,085.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,501.86 / $1,877.33 / $1,987.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,574.86 / $2,178.92 / $2,630.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,565.00 / $2,828.00 / $6,992.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,289.20 / $1,818.68 / $2,888.53