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Arizona rates for HCPCS 21147

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,073.00 / $4,005.00 / $7,960.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,371.64 / $1,615.75 / $3,424.43
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
$1,762.78 / $2,014.61 / $2,518.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.92 / $2,002.24 / $3,370.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,588.97 / $2,130.66 / $7,168.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,456.00 / $1,828.55 / $14,973.86
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
$1,423.80 / $1,721.42 / $3,336.34