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Missouri rates for HCPCS 21184

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 greater than 80 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
$2,084.94 / $2,495.09 / $3,900.18
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
$2,359.25 / $2,929.41 / $4,662.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,309.19 / $3,291.51 / $5,451.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,053.46 / $3,404.58 / $6,505.01
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,412.90 / $3,529.14 / $23,227.73
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
$2,349.00 / $3,222.97 / $5,310.46