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Missouri rates for HCPCS 21249

Reconstruction of mandible or maxilla, endosteal implant (eg, blade, cylinder); complete

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,018.72 / $1,229.27 / $2,079.67
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,201.94 / $1,490.14 / $2,284.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,193.45 / $1,735.10 / $2,803.51
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,449.72 / $2,174.58 / $13,311.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,304.75 / $1,784.42 / $2,952.60