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Missouri rates for HCPCS 21347

Open treatment of nasomaxillary complex fracture (LeFort II type); requiring multiple open approaches

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,760.00 / $5,389.00 / $9,823.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$881.03 / $1,052.74 / $1,661.00
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
$965.00 / $1,244.81 / $1,908.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$955.59 / $1,437.76 / $2,282.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$886.06 / $1,521.50 / $4,813.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,022.72 / $1,447.99 / $10,228.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,858.00 / $4,000.00 / $11,258.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$966.09 / $1,385.20 / $2,167.59