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Oklahoma rates for HCPCS 21395

Optx Orb Floor Blwt Fx Pri/Bital Appr W/Bone Grf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,456.00 / $5,551.00 / $16,900.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$841.39 / $1,059.54 / $1,070.29
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
$1,157.99 / $1,372.43 / $1,688.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $900.00 / $900.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.26 / $1,285.75 / $1,568.21
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,059.54 / $1,430.71 / $8,804.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$877.15 / $1,115.25 / $8,440.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,515.00 / $5,910.00 / $9,232.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$846.81 / $1,058.00 / $1,496.94