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Oklahoma rates for HCPCS 21155

Rcnstj Midface Lefort Iii W/Lefort I

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
$1,814.18 / $2,282.37 / $2,282.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $900.00 / $900.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,288.08 / $2,884.14 / $3,802.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,976.61 / $3,060.37 / $8,085.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,908.05 / $2,541.71 / $22,628.38
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
$1,795.82 / $2,261.39 / $3,334.50