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Missouri rates for HCPCS 21182

Reconstruction of orbital walls, rims, forehead, nasoethmoid complex following intra- and extracranial excision of benign tumor of cranial bone (eg, fibrous dysplasia), with multiple autografts (includes obtaining grafts); total area of bone grafting less than 40 sq cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,760.00 / $5,389.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,782.28 / $2,132.67 / $3,334.12
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
$2,005.32 / $2,486.36 / $3,833.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,969.25 / $2,804.18 / $4,625.43
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,678.44 / $2,834.53 / $5,560.71
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,060.80 / $2,925.45 / $19,923.77
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
$2,003.73 / $2,671.64 / $4,631.93