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Oklahoma rates for HCPCS 21076

Impression&Preparation Surg Obturator Prosthes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$750.65 / $750.65 / $902.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$719.17 / $750.65 / $902.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$698.95 / $939.79 / $1,151.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$624.71 / $624.71 / $624.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$772.99 / $1,088.56 / $1,593.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$750.65 / $1,138.69 / $3,237.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.21 / $1,103.54 / $6,495.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.00 / $1,990.00 / $4,012.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$737.36 / $951.75 / $1,325.08