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Missouri rates for HCPCS 21345

Closed treatment of nasomaxillary complex fracture (LeFort II type), with interdental wire fixation or fixation of denture or splint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $5,128.61 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $794.33 / $2,089.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $4,677.35 / $8,912.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $776.25 / $1,230.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $812.83 / $1,096.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $933.25 / $1,548.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $1,047.13 / $3,981.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,174.90 / $6,760.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $1,202.26 / $3,019.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $831.76 / $1,348.96