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Arkansas rates for HCPCS 21188

Reconstruction midface, osteotomies (other than LeFort type) and bone grafts (includes obtaining autografts)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,277.00 / $2,024.90 / $9,034.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,433.86 / $2,028.28 / $2,281.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,679.82 / $2,099.77 / $2,223.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,799.29 / $2,445.17 / $2,941.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,565.00 / $2,828.00 / $6,992.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,458.53 / $2,100.15 / $3,014.11