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Oklahoma rates for HCPCS 21147

Rcnstj Midface Lefort I 3/> 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
$1,683.03 / $1,796.53 / $1,796.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,334.45 / $14,829.12 / $23,429.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $900.00 / $900.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,781.82 / $2,193.80 / $2,624.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,616.88 / $2,425.58 / $8,085.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,502.90 / $1,911.95 / $14,973.86
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
$1,426.84 / $1,819.30 / $2,534.69