go back

Arkansas rates for HCPCS 21348

Open treatment of nasomaxillary complex fracture (LeFort II type); with bone grafting (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,233.00 / $1,688.00 / $3,109.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$993.26 / $1,296.69 / $1,645.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,167.32 / $1,459.14 / $1,544.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,166.51 / $1,724.50 / $2,050.69
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
$1,009.17 / $1,393.57 / $2,080.44