go back

Oklahoma rates for HCPCS 21275

Secondary revision of orbitocraniofacial reconstruction

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $3,890.45 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $851.14 / $1,621.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,025.60 / $6,025.60 / $6,025.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,122.02 / $1,380.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $1,862.09 / $10,232.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $933.25 / $14,791.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $5,754.40 / $10,715.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $851.14 / $1,148.15