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Arizona 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
$1,671.00 / $4,182.00 / $7,960.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,194.55 / $1,347.48 / $7,610.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,763.75 / $6,640.00 / $10,860.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,461.50 / $1,670.29 / $2,087.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,239.22 / $1,662.42 / $2,854.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,341.92 / $1,825.21 / $7,168.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,194.42 / $1,555.20 / $13,577.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,613.00 / $6,455.00 / $9,010.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,187.64 / $1,436.36 / $2,749.43