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Missouri rates for HCPCS 21433

Open treatment of craniofacial separation (LeFort III type); complicated (eg, comminuted or involving cranial nerve foramina), multiple surgical approaches

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,704.00 / $5,389.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,461.91 / $1,749.10 / $2,734.98
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
$1,671.75 / $2,060.52 / $3,176.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,690.85 / $2,327.57 / $3,803.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,395.77 / $2,385.56 / $4,995.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,692.69 / $2,413.01 / $12,714.80
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
$1,640.60 / $2,187.46 / $3,688.06