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Oklahoma rates for HCPCS 21047

Exc B9 Tum/Cst Mndbl Xtr-Oral Osteot&Prtl Mndb

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,150.00 / $3,683.00 / $8,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,141.32 / $1,320.65 / $1,320.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,334.45 / $14,829.12 / $23,429.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,703.09 / $4,703.09 / $4,703.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,224.80 / $1,695.90 / $2,126.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,320.65 / $1,888.53 / $8,986.49
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,127.34 / $1,445.32 / $9,976.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,481.00 / $5,910.00 / $9,232.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,061.03 / $1,392.60 / $1,886.86