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Arkansas rates for HCPCS 21421

Closed Tx Palatal/Maxillary Fx W/Fixation/Splint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$737.05 / $1,181.00 / $3,109.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$530.85 / $737.05 / $915.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,893.49 / $2,893.49 / $3,472.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$580.44 / $768.23 / $905.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,519.08 / $2,519.08 / $2,519.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$585.61 / $954.91 / $1,186.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$980.00 / $2,052.00 / $7,063.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.47 / $750.29 / $1,239.09