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Missouri rates for HCPCS 21146

Rcnstj Midface Lefort I 2 Pieces W/Bone Grafts

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,692.21 / $4,931.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,364.19 / $1,631.55 / $2,570.82
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
$1,513.75 / $1,948.02 / $3,107.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,533.41 / $2,199.17 / $3,695.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,364.19 / $2,266.75 / $4,813.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,578.18 / $2,290.42 / $14,308.48
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
$1,523.02 / $2,115.30 / $3,501.92