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Oklahoma rates for HCPCS 21175

Rcnstj Bifrontal Superior-Lat Orb Rims & Lwr Fhd

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,474.00 / $4,856.00 / $14,100.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,001.22 / $2,325.17 / $2,346.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,543.64 / $3,014.69 / $3,708.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $900.00 / $900.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,295.69 / $2,960.72 / $3,487.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,017.39 / $3,024.99 / $8,753.15
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,928.76 / $2,447.56 / $19,652.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,012.00 / $6,627.00 / $10,811.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,859.05 / $2,297.69 / $3,276.57