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Oklahoma rates for HCPCS 21423

Open treatment of palatal or maxillary fracture (LeFort I type); complicated (comminuted or involving cranial nerve foramina), multiple approaches

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,346.00 / $4,195.00 / $13,200.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$717.27 / $837.48 / $847.25
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
$773.85 / $1,040.50 / $1,320.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $900.00 / $900.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$828.04 / $1,035.05 / $1,271.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$837.48 / $1,162.75 / $7,567.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.10 / $877.22 / $6,581.31
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
$636.33 / $800.94 / $1,124.07