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Oklahoma rates for HCPCS 21125

Augmentation, mandibular body or angle; prosthetic material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,456.00 / $5,511.00 / $16,900.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$703.34 / $2,096.16 / $2,750.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,585.95 / $10,462.75 / $16,531.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,961.00 / $5,961.00 / $5,961.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$795.03 / $2,367.30 / $4,140.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$703.34 / $2,607.91 / $5,543.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,481.40 / $3,220.57 / $19,122.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,042.00 / $3,869.00 / $6,167.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,423.01 / $3,135.51 / $4,539.82