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Arkansas rates for HCPCS 21440

Cltx Mandibular/Maxillary Alveolar Ridge Fx Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$540.54 / $1,181.00 / $3,109.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$476.13 / $591.41 / $895.09
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
$637.96 / $844.35 / $1,054.22
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
$441.13 / $798.84 / $1,047.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$980.00 / $1,650.00 / $4,064.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$483.72 / $647.09 / $1,212.04