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Oklahoma rates for HCPCS 21100

Appl Halo Appliance Maxillofacial Fixation Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$916.00 / $3,683.00 / $8,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$368.66 / $501.84 / $643.33
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
$388.29 / $694.06 / $990.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$368.66 / $687.80 / $6,334.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$581.01 / $807.76 / $4,610.24
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
$546.83 / $717.72 / $1,093.66