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Missouri rates for HCPCS 21406

Open Tx Fx Orbit Except Blowout W/O Implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,547.00 / $5,389.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$493.30 / $589.47 / $924.16
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
$526.16 / $661.20 / $993.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$527.99 / $751.09 / $1,248.43
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$541.73 / $885.56 / $4,490.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$555.62 / $791.84 / $5,007.80
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
$543.73 / $714.92 / $1,233.00