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Missouri rates for HCPCS 21179

Reconstruction, entire or majority of forehead and/or supraorbital rims; with grafts (allograft or prosthetic material)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,760.00 / $5,389.00 / $9,823.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,281.98 / $1,533.62 / $2,398.91
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
$1,435.08 / $1,779.97 / $2,788.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,481.66 / $2,040.82 / $3,310.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,224.94 / $2,101.06 / $4,647.01
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,482.18 / $2,116.02 / $15,972.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,469.00 / $3,892.00 / $6,980.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,435.64 / $1,963.95 / $3,272.47