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Missouri rates for HCPCS 21208

Osteoplasty, facial bones; augmentation (autograft, allograft, or prosthetic implant)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $1,513.56 / $3,311.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $977.24 / $1,479.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $1,621.81 / $2,290.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,621.81 / $3,162.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $2,454.71 / $12,022.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,479.11 / $2,630.27