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Arkansas rates for HCPCS 21147

Rcnstj Midface Lefort I 3/> Piece W/Bone Grafts

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,277.00 / $2,012.02 / $9,034.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,494.01 / $1,798.14 / $2,314.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,814.52 / $2,268.15 / $2,401.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,908.49 / $2,522.76 / $3,181.39
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
$1,551.69 / $1,858.67 / $3,206.63