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Missouri rates for HCPCS 21246

Reconstruction of mandible or maxilla, subperiosteal implant; complete

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
$716.44 / $856.78 / $1,363.45
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
$844.56 / $1,035.36 / $1,594.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$811.16 / $1,163.33 / $1,926.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$788.08 / $1,355.48 / $15,789.42
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$839.07 / $1,199.32 / $13,243.52
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
$801.62 / $1,109.91 / $1,951.07