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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
$2,089.30 / $3,890.45 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $660.69 / $1,819.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $2,041.74 / $3,019.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $954.99 / $1,778.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $645.65 / $1,174.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $776.25 / $3,715.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $776.25 / $5,623.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $3,311.31 / $5,370.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $549.54 / $1,023.29