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Missouri rates for HCPCS 21215

Graft Bone Mandible

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,760.00 / $5,150.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$720.12 / $3,374.21 / $4,527.27
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,247.00 / $9,663.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$829.03 / $1,030.61 / $1,579.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$863.12 / $2,903.17 / $6,984.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$791.39 / $3,607.67 / $8,828.18
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,386.65 / $5,853.52 / $29,962.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,156.00 / $4,000.00 / $10,781.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,356.68 / $4,868.31 / $8,593.60