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Missouri rates for HCPCS 21454

Open treatment of mandibular fracture with external fixation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,760.00 / $5,389.00 / $9,823.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.19 / $491.69 / $783.46
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
$528.67 / $639.12 / $956.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$499.18 / $686.82 / $1,175.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.05 / $782.28 / $15,789.42
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.36 / $741.97 / $5,937.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,644.00 / $2,874.00 / $5,813.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$486.81 / $674.52 / $1,092.66