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Oklahoma rates for HCPCS 21151

Reconstruction midface, LeFort II; any direction, requiring bone grafts (includes obtaining autografts)

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
$1,518.73 / $1,910.83 / $1,910.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,083.71 / $2,469.58 / $3,037.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $900.00 / $900.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,914.50 / $2,540.14 / $3,306.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,705.42 / $2,732.49 / $8,085.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,597.62 / $2,080.46 / $18,236.43
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
$1,503.64 / $1,973.53 / $2,783.61