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Oklahoma rates for HCPCS 21347

Open treatment of nasomaxillary complex fracture (LeFort II type); requiring multiple open approaches

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,392.00 / $4,856.00 / $14,100.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$865.14 / $1,094.96 / $1,289.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,334.45 / $14,829.12 / $23,429.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$984.20 / $1,323.33 / $1,679.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $900.00 / $900.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,098.03 / $1,339.56 / $1,783.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,039.00 / $1,568.84 / $8,124.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.75 / $1,206.49 / $10,228.59
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
$839.30 / $1,101.58 / $1,553.75