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Oklahoma rates for HCPCS 21387

Open Tx Orbital Floor Blowout Fx Combined Appr

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
$635.86 / $800.82 / $810.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$885.96 / $1,050.03 / $1,291.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $900.00 / $900.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$775.28 / $989.10 / $1,181.67
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$800.82 / $1,106.74 / $8,124.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$683.26 / $857.53 / $8,296.79
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
$650.48 / $813.10 / $1,202.08