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Oklahoma rates for HCPCS 21138

Rdctj Fhd Cntrg & Prosthetic Matrl/Bone Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,048.00 / $3,803.00 / $12,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$761.59 / $956.65 / $966.75
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
$928.36 / $1,172.51 / $1,451.99
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$956.65 / $1,251.01 / $8,124.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$801.10 / $1,027.04 / $8,385.95
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
$767.12 / $958.90 / $1,351.99