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Arizona rates for HCPCS 21440

Closed treatment of mandibular or maxillary alveolar ridge fracture (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,965.00 / $3,819.00 / $7,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$441.68 / $595.54 / $1,265.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$672.35 / $2,531.19 / $4,140.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$692.01 / $886.14 / $1,002.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.98 / $651.64 / $1,109.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$458.75 / $740.66 / $3,418.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$462.54 / $681.34 / $5,632.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,343.00 / $3,339.00 / $5,838.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$431.64 / $609.62 / $1,294.18