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Missouri rates for HCPCS 21445

Open treatment of mandibular or maxillary alveolar ridge fracture (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$574.20 / $707.17 / $1,192.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$552.71 / $701.58 / $1,112.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$639.72 / $910.42 / $1,515.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$737.09 / $1,147.25 / $5,774.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$697.04 / $927.72 / $1,639.92