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Arkansas rates for HCPCS 21175

Rcnstj Bifrontal Superior-Lat Orb Rims & Lwr Fhd

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,233.00 / $2,477.00 / $3,109.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,946.05 / $2,300.53 / $3,494.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,430.62 / $5,430.62 / $6,516.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,318.60 / $2,898.25 / $3,068.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,337.37 / $4,337.37 / $4,337.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,396.37 / $3,436.43 / $4,069.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,565.00 / $3,709.00 / $7,779.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,021.71 / $2,895.00 / $4,141.97