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Missouri rates for HCPCS 21366

Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including zygomatic arch and malar tripod; 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
$1,076.94 / $1,288.11 / $2,015.32
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
$1,217.59 / $1,489.32 / $2,302.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,180.65 / $1,673.06 / $2,769.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,012.38 / $1,802.84 / $4,813.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,241.25 / $1,777.59 / $9,657.29
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
$1,202.76 / $1,603.68 / $2,764.81