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Oklahoma rates for HCPCS 21261

Periorbital Osteotomies W/Bone Grafts Icra & Xtr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,346.00 / $3,742.00 / $18,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,016.95 / $2,544.84 / $2,572.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $900.00 / $900.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,393.82 / $2,992.28 / $3,603.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,210.28 / $3,160.00 / $8,753.15
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,076.53 / $2,604.63 / $18,636.00
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
$2,001.84 / $2,438.36 / $3,868.00