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Oklahoma rates for HCPCS 21139

Rdctj Fhd Cntrg & Setback Ant Frontal Sinus Wall

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,143.56 / $3,742.00 / $18,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$906.90 / $1,143.56 / $1,156.67
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
$1,022.48 / $1,397.28 / $1,674.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,082.06 / $1,456.77 / $8,124.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$926.20 / $1,192.48 / $10,050.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,481.00 / $5,407.00 / $9,232.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$897.59 / $1,123.02 / $1,709.94