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Oklahoma rates for HCPCS 21180

Rcnstj Forehead &/ Supraorbital Rims W/Autograft

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
$1,416.89 / $1,784.85 / $1,801.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $900.00 / $900.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,719.94 / $2,206.31 / $2,613.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,606.37 / $2,231.06 / $8,085.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,480.94 / $1,883.30 / $17,970.61
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
$1,427.42 / $1,737.18 / $2,512.69