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Oklahoma rates for HCPCS 21145

Rcnstj Midface Lefort I 1 Piece W/Bone Grafts

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,439.00 / $4,192.00 / $13,200.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,328.43 / $1,634.39 / $1,634.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,585.95 / $10,462.75 / $16,531.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,495.55 / $1,939.09 / $2,053.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $900.00 / $900.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,608.83 / $1,998.30 / $2,523.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,485.80 / $2,212.41 / $8,085.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,378.28 / $1,781.28 / $13,677.74
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
$1,297.21 / $1,621.51 / $2,302.34