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Arkansas rates for HCPCS 21347

Open treatment of nasomaxillary complex fracture (LeFort II type); requiring multiple open approaches

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,201.19 / $1,688.00 / $3,109.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$937.95 / $1,201.19 / $1,553.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,099.89 / $1,374.86 / $1,455.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,084.82 / $1,610.72 / $1,923.39
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
$935.75 / $1,241.01 / $1,961.68