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Oklahoma rates for HCPCS 21179

Rcnstj Forehead &/ Supraorb Rims W/Algrf/Prostc

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
$1,267.85 / $1,597.17 / $1,612.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $900.00 / $900.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,551.08 / $2,006.39 / $2,339.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,481.00 / $2,042.82 / $8,085.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,342.54 / $1,695.83 / $15,972.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,624.00 / $6,627.00 / $10,376.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,276.13 / $1,519.19 / $2,248.82