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Oklahoma rates for HCPCS 21385

Open Tx Orbital Floor Blowout Fx Transantral

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
$608.83 / $767.19 / $776.64
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
$709.45 / $887.22 / $974.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $900.00 / $900.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$730.63 / $946.80 / $1,131.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$767.19 / $1,059.45 / $8,124.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$646.38 / $817.75 / $5,410.32
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
$623.04 / $765.45 / $1,093.92