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Arkansas rates for HCPCS 21401

Closed Tx Fx Orbit Except Blowout W/Manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.23 / $1,130.00 / $3,109.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.55 / $437.21 / $654.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,411.79 / $1,411.79 / $1,694.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.10 / $514.85 / $708.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,734.43 / $1,734.43 / $1,734.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$347.00 / $538.83 / $854.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$590.00 / $1,229.00 / $2,539.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.72 / $533.40 / $940.30