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Missouri rates for HCPCS 21267

Orbital Repositioning W/Bone Grafts Extracranial

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
$1,350.70 / $1,614.23 / $2,529.12
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
$1,449.08 / $1,827.17 / $2,846.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,487.57 / $2,133.44 / $3,540.92
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,455.47 / $2,408.27 / $15,789.42
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,567.13 / $2,253.71 / $23,959.18
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
$1,440.14 / $2,030.69 / $3,440.31