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Arkansas rates for HCPCS 21423

Open treatment of palatal or maxillary fracture (LeFort I type); complicated (comminuted or involving cranial nerve foramina), multiple approaches

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$944.99 / $1,517.00 / $9,034.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$711.03 / $839.31 / $1,163.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$839.70 / $1,049.61 / $1,111.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$833.47 / $1,223.68 / $1,468.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,565.00 / $2,667.00 / $6,957.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$715.87 / $914.72 / $1,494.11