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Arkansas rates for HCPCS 21260

Periorbital Osteotomies Bone Grafts Extracranial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,277.00 / $1,689.12 / $3,109.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,217.98 / $1,519.99 / $1,867.58
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
$1,436.11 / $1,795.14 / $1,900.74
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
$1,424.71 / $2,037.74 / $2,511.48
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
$1,200.53 / $1,548.49 / $2,556.26