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Oklahoma rates for HCPCS 21188

Rcnstj Mdfc Oth/Thn Lefort Osteot & Bone Grafts

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
$1,315.99 / $1,664.69 / $1,664.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,334.45 / $14,829.12 / $23,429.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $900.00 / $900.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,653.86 / $2,136.96 / $2,609.67
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,574.29 / $2,228.56 / $8,085.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,428.59 / $1,803.20 / $15,441.12
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
$1,344.55 / $1,685.60 / $2,400.83