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Missouri rates for HCPCS 21386

Open Tx Orbital Floor Blowout Fx Periorbital

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,704.00 / $5,144.00 / $9,823.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$584.67 / $699.06 / $1,094.52
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
$642.41 / $808.42 / $1,230.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$653.80 / $918.16 / $1,510.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$643.15 / $1,048.58 / $4,763.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$643.79 / $928.60 / $6,008.36
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
$608.36 / $856.65 / $1,475.68