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Oklahoma rates for HCPCS 21210

Graft, bone; nasal, maxillary or malar areas (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,456.00 / $5,511.00 / $16,900.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.55 / $1,424.73 / $1,842.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,334.45 / $14,908.63 / $23,560.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$881.78 / $1,285.48 / $3,107.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,416.28 / $6,416.28 / $6,416.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$866.26 / $1,795.95 / $3,051.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.56 / $1,854.08 / $7,741.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,708.83 / $2,229.19 / $13,032.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,481.00 / $5,524.00 / $9,232.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,631.82 / $2,048.85 / $2,785.74