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Arkansas rates for HCPCS 21179

Reconstruction, entire or majority of forehead and/or supraorbital rims; with grafts (allograft or prosthetic material)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $1,995.26 / $2,691.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $1,548.82 / $2,187.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $2,290.87 / $2,630.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.82 / $4,073.80 / $11,748.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $1,819.70 / $2,818.38