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Arkansas rates for HCPCS 21450

Closed treatment of mandibular fracture; without manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$544.49 / $1,130.00 / $3,109.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$429.95 / $573.95 / $737.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$464.60 / $464.60 / $557.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$507.65 / $671.89 / $822.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$345.62 / $345.62 / $345.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.13 / $767.84 / $972.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.00 / $328.00 / $768.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.69 / $682.31 / $1,094.45