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Oklahoma rates for HCPCS 21386

Open Tx Orbital Floor Blowout Fx Periorbital

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
$576.02 / $723.59 / $731.65
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
$660.80 / $888.49 / $1,127.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $900.00 / $900.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$696.30 / $870.37 / $1,070.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$723.59 / $1,007.89 / $8,124.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$574.57 / $756.44 / $6,008.36
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
$540.77 / $708.05 / $1,001.10