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Oklahoma rates for HCPCS 21215

Graft Bone Mandible

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
$780.12 / $3,256.40 / $4,279.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,334.45 / $14,829.12 / $23,429.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$957.25 / $4,911.43 / $5,392.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,215.83 / $6,215.83 / $6,215.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$915.46 / $2,839.91 / $5,625.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$825.32 / $3,990.00 / $8,085.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,144.52 / $4,233.31 / $29,962.16
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
$3,100.54 / $3,832.03 / $5,968.97