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Arkansas rates for HCPCS 21431

Closed treatment of craniofacial separation (LeFort III type) using interdental wire fixation of denture or splint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$854.91 / $1,517.00 / $9,034.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$624.98 / $854.91 / $1,043.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$737.57 / $921.96 / $976.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$543.00 / $1,071.47 / $1,282.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,565.00 / $2,828.00 / $6,992.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$611.07 / $806.06 / $1,306.69