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Missouri rates for HCPCS 21465

Open treatment of mandibular condylar fracture

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,547.00 / $5,389.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$671.70 / $803.72 / $2,500.07
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
$843.80 / $1,052.59 / $1,507.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$820.11 / $1,131.96 / $1,923.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$743.88 / $1,301.79 / $17,647.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$861.69 / $1,210.35 / $8,584.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,156.00 / $4,000.00 / $10,781.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$813.26 / $1,087.20 / $1,722.11