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Missouri rates for HCPCS 21155

Rcnstj Midface Lefort Iii W/Lefort I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,760.00 / $4,931.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,826.41 / $2,185.87 / $3,445.52
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
$2,139.62 / $2,757.69 / $4,259.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,154.66 / $2,994.34 / $4,763.21
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,826.41 / $3,163.34 / $5,910.85
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,157.05 / $3,055.28 / $22,628.38
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
$2,065.19 / $2,891.98 / $4,651.97