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Missouri rates for HCPCS 21138

Reduction forehead; contouring and application of prosthetic material or bone graft (includes obtaining autograft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.00 / $4,261.00 / $8,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$772.35 / $923.57 / $1,445.57
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
$871.13 / $1,069.33 / $1,684.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$875.04 / $1,212.25 / $1,997.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$739.87 / $1,293.00 / $4,813.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$897.09 / $1,285.75 / $8,385.95
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
$823.56 / $1,150.68 / $1,967.23