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Missouri rates for HCPCS 21151

Reconstruction midface, LeFort II; any direction, requiring bone grafts (includes obtaining autografts)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,704.00 / $5,389.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,530.39 / $1,831.35 / $2,886.73
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
$1,813.00 / $2,341.00 / $3,551.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,809.46 / $2,553.29 / $4,150.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,530.39 / $2,706.10 / $5,462.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,810.71 / $2,650.28 / $18,236.43
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
$1,738.38 / $2,363.48 / $3,974.22