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Missouri rates for HCPCS 21100

Appl Halo Appliance Maxillofacial Fixation Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$643.69 / $3,213.00 / $7,365.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.33 / $520.79 / $806.75
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,247.00 / $9,663.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.42 / $452.89 / $694.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$394.17 / $693.64 / $1,313.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$348.50 / $719.50 / $4,000.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$651.83 / $975.35 / $4,610.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,156.00 / $4,000.00 / $10,781.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$615.19 / $827.16 / $1,340.34