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Oklahoma rates for HCPCS 21401

Closed treatment of fracture of orbit, except blowout; with manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $2,630.27 / $6,760.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $467.74 / $812.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $1,071.52 / $1,071.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $446.68 / $707.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $602.56 / $3,801.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $562.34 / $3,801.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $1,949.84 / $3,801.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $407.38 / $616.60