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Missouri rates for HCPCS 21183

Rcnstj Orbit/Fhd/Nasethmd Exc Bone Grf>40 <80

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
$1,938.97 / $2,320.31 / $3,626.91
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
$2,209.98 / $2,720.72 / $4,330.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,284.09 / $3,109.81 / $5,074.85
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,903.07 / $3,158.34 / $6,049.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,254.83 / $3,265.01 / $21,431.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,469.00 / $3,864.00 / $6,980.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,144.76 / $3,031.08 / $4,938.67