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Arizona rates for HCPCS 21340

Percutaneous treatment of nasoethmoid complex fracture, with splint, wire or headcap fixation, including repair of canthal ligaments and/or the nasolacrimal apparatus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,965.00 / $4,474.00 / $7,960.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$634.35 / $725.50 / $3,899.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$830.45 / $3,126.40 / $5,113.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$785.65 / $897.89 / $1,122.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.28 / $913.07 / $1,467.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$723.08 / $977.40 / $7,167.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$664.91 / $834.24 / $7,223.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,637.00 / $6,477.00 / $9,010.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$663.60 / $782.65 / $1,445.79