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Missouri rates for HCPCS 21150

Reconstruction midface, LeFort II; anterior intrusion (eg, Treacher-Collins Syndrome)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,663.56 / $5,389.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,390.34 / $1,663.56 / $2,622.56
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
$1,588.46 / $1,983.05 / $3,157.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,640.52 / $2,237.19 / $3,622.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,383.62 / $2,327.44 / $5,261.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.69 / $2,364.87 / $16,240.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,858.00 / $4,000.00 / $10,781.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,565.36 / $2,148.06 / $3,541.29