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Oklahoma rates for HCPCS 21010

Arthrotomy, temporomandibular joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $2,630.27 / $6,606.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $758.58 / $1,479.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $2,238.72 / $2,238.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $977.24 / $1,230.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $1,258.93 / $5,888.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $851.14 / $7,079.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $3,311.31 / $6,025.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $758.58 / $1,000.00