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Arkansas rates for HCPCS 21155

Rcnstj Midface Lefort Iii W/Lefort I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,277.00 / $2,477.00 / $9,034.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,910.90 / $2,637.26 / $3,289.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,293.46 / $2,866.84 / $3,035.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,353.08 / $3,386.76 / $4,032.84
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
$2,020.29 / $3,026.28 / $4,100.68