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Oklahoma rates for HCPCS 21249

Reconstruction of mandible or maxilla, endosteal implant (eg, blade, cylinder); complete

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,318.26 / $2,454.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,737.80 / $2,290.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,698.24 / $13,182.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,318.26 / $1,819.70