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Missouri rates for HCPCS 21142

Rcnstj Midface Lefort I 2 Pieces W/O Bone Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,547.00 / $5,389.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,153.14 / $1,378.79 / $1,830.92
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
$1,324.41 / $1,629.28 / $2,499.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,301.99 / $1,836.53 / $3,077.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,097.39 / $1,930.31 / $4,813.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,351.58 / $1,932.58 / $13,111.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,858.00 / $4,000.00 / $11,258.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,300.74 / $1,778.72 / $2,950.01