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Arkansas rates for HCPCS 21247

Reconstruction of mandibular condyle with bone and cartilage autografts (includes obtaining grafts) (eg, for hemifacial microsomia)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,277.00 / $1,978.15 / $9,034.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,414.96 / $1,978.15 / $2,316.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,683.92 / $2,104.91 / $2,228.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,764.33 / $2,545.59 / $2,952.32
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
$1,474.80 / $1,891.43 / $3,008.68