go back

Oklahoma rates for HCPCS 21246

Rcnstj Mndbl/Maxl Subpriosteal Implant Complete

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,456.00 / $5,551.00 / $16,900.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$708.76 / $894.25 / $894.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,703.09 / $4,703.09 / $4,703.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$889.18 / $1,111.47 / $1,372.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$894.25 / $1,278.78 / $8,986.49
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$757.09 / $962.67 / $13,243.52
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
$712.55 / $907.64 / $1,261.35