go back

Arizona rates for HCPCS 21172

Rcnstj Superior-Lateral Orbital Rim & Lower Fhd

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,965.00 / $4,521.00 / $7,963.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,476.51 / $1,906.52 / $4,179.20
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
$2,183.01 / $2,494.87 / $3,118.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,736.02 / $2,368.54 / $4,034.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,878.26 / $2,534.78 / $7,168.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,562.30 / $2,113.69 / $15,018.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,150.00 / $6,506.00 / $9,010.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,550.63 / $1,988.58 / $4,086.69