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Missouri rates for HCPCS 21435

Open treatment of craniofacial separation (LeFort III type); complicated, utilizing internal and/or external fixation techniques (eg, head cap, halo device, and/or intermaxillary fixation)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,547.00 / $4,931.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,187.03 / $1,419.68 / $2,221.46
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
$1,258.80 / $1,615.56 / $2,500.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,291.92 / $1,823.78 / $3,052.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,095.61 / $1,875.80 / $4,490.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,345.28 / $1,920.26 / $10,906.00
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
$1,284.95 / $1,765.64 / $3,045.47