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Missouri rates for HCPCS 21145

Rcnstj Midface Lefort I 1 Piece W/Bone Grafts

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.22 / $5,389.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,306.90 / $1,563.10 / $3,986.94
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,224.00 / $4,490.00 / $12,405.97
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,436.30 / $1,855.99 / $2,910.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,467.69 / $2,080.05 / $3,483.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,277.92 / $2,121.67 / $4,813.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,491.79 / $2,186.56 / $13,677.74
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
$1,459.36 / $2,013.31 / $3,355.87