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Missouri rates for HCPCS 21275

Secondary revision of orbitocraniofacial reconstruction

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
$712.76 / $852.24 / $1,334.54
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
$794.29 / $977.14 / $1,503.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$798.66 / $1,119.64 / $1,833.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$782.36 / $1,278.35 / $17,647.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$826.78 / $1,161.55 / $14,641.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,044.49 / $4,000.00 / $10,781.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$792.53 / $1,056.71 / $1,814.31