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Missouri rates for HCPCS 21423

Open treatment of palatal or maxillary fracture (LeFort I type); complicated (comminuted or involving cranial nerve foramina), multiple approaches

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.82 / $4,265.80 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $870.96 / $2,238.72
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $4,677.35 / $8,912.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $933.25 / $1,479.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $870.96 / $1,174.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,047.13 / $1,698.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $1,174.90 / $4,786.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,071.52 / $6,606.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $3,235.94 / $6,309.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $933.25 / $1,445.44