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Missouri rates for HCPCS 21172

Rcnstj Superior-Lateral Orbital Rim & Lower Fhd

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,070.00 / $5,389.00 / $9,823.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,796.28 / $2,149.67 / $3,152.58
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
$1,754.00 / $2,261.63 / $3,446.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,922.37 / $2,708.75 / $4,537.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,526.84 / $2,589.06 / $5,627.81
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,911.53 / $2,852.91 / $15,018.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,469.00 / $3,892.00 / $8,004.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,858.59 / $2,604.52 / $4,501.77