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Missouri rates for HCPCS 21235

Graft; ear cartilage, autogenous, to nose or ear (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,110.00 / $5,493.00 / $14,345.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$480.81 / $651.19 / $1,364.88
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
$538.70 / $662.63 / $1,035.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$606.96 / $857.28 / $1,429.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$564.98 / $922.95 / $2,672.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$715.08 / $1,090.55 / $5,495.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,216.00 / $2,306.00 / $3,071.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$675.50 / $928.81 / $1,523.81