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Oklahoma rates for HCPCS 21275

Secondary Revision Orbitocraniofacial Rcnstj

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
$702.48 / $885.19 / $895.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,976.82 / $5,976.82 / $5,976.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$858.35 / $1,099.32 / $1,304.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$885.19 / $1,222.01 / $8,986.49
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$730.89 / $926.26 / $14,641.99
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
$704.47 / $880.59 / $1,247.32