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Oklahoma rates for HCPCS 21159

Rcnstj Midface Lefort Iii W/Fhd W/O 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
$2,176.53 / $2,738.56 / $2,738.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,493.75 / $3,118.61 / $3,424.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $900.00 / $900.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,743.76 / $3,459.07 / $4,247.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,371.09 / $3,554.21 / $8,753.15
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,288.13 / $3,004.33 / $27,619.68
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
$2,153.54 / $2,724.55 / $3,949.79