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Oklahoma rates for HCPCS 21138

Reduction forehead; contouring and application of prosthetic material or bone graft (includes obtaining autograft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $3,467.37 / $6,760.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $912.01 / $1,737.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,677.35 / $4,677.35 / $4,677.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,202.26 / $1,479.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $1,548.82 / $8,709.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,023.29 / $8,317.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $5,754.40 / $10,715.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $933.25 / $1,258.93