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Missouri rates for HCPCS 21348

Open treatment of nasomaxillary complex fracture (LeFort II type); with bone grafting (includes obtaining graft)

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
$927.29 / $1,109.60 / $1,749.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,224.00 / $4,490.00 / $12,405.97
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,045.33 / $1,365.08 / $2,156.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,094.09 / $1,533.82 / $2,447.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$927.29 / $1,605.61 / $4,490.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,066.79 / $1,554.45 / $10,299.59
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
$1,021.82 / $1,436.40 / $2,361.86