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Missouri rates for HCPCS 21210

Graft, bone; nasal, maxillary or malar areas (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $5,128.61 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,621.81 / $4,168.69
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $4,677.35 / $8,912.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $977.24 / $1,584.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,737.80 / $2,630.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,778.28 / $3,630.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $1,905.46 / $6,025.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $2,818.38 / $13,182.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $3,715.35 / $6,165.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,621.81 / $2,951.21