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Arkansas rates for HCPCS 21196

Reconstruction of mandibular rami and/or body, sagittal split; with internal rigid fixation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,277.00 / $1,783.01 / $9,034.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,269.08 / $1,525.87 / $2,190.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,522.60 / $1,903.25 / $2,015.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,580.19 / $2,220.53 / $2,665.54
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
$1,285.43 / $1,832.70 / $2,721.26