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Oklahoma rates for HCPCS 21421

Closed Tx Palatal/Maxillary Fx W/Fixation/Splint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,184.00 / $4,192.00 / $13,200.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.46 / $670.82 / $787.68
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
$630.35 / $788.30 / $865.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,248.01 / $2,248.01 / $2,248.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$574.28 / $764.45 / $1,127.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$568.87 / $866.22 / $4,705.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.05 / $797.24 / $4,812.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$884.00 / $3,461.00 / $6,167.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.47 / $720.78 / $975.49