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Oklahoma rates for HCPCS 21150

Rcnstj Midface Lefort Ii Anterior Intrusion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,439.00 / $4,195.00 / $13,200.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,378.57 / $1,735.22 / $1,735.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,961.00 / $5,961.00 / $5,961.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,710.74 / $2,182.87 / $2,751.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,585.30 / $2,369.23 / $8,753.15
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,450.98 / $1,898.52 / $16,240.27
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
$1,365.63 / $1,716.52 / $2,447.44