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Oklahoma rates for HCPCS 21345

Closed treatment of nasomaxillary complex fracture (LeFort II type), with interdental wire fixation or fixation of denture or splint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,346.00 / $5,511.00 / $16,900.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$596.78 / $670.95 / $834.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,334.45 / $14,829.12 / $23,429.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,059.77 / $1,059.77 / $1,059.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$675.93 / $879.55 / $1,195.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$669.69 / $929.55 / $3,704.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$682.63 / $902.65 / $6,724.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.00 / $1,990.00 / $4,012.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.86 / $831.54 / $1,183.21