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Oklahoma rates for HCPCS 21431

Closed treatment of craniofacial separation (LeFort III type) using interdental wire fixation of denture or splint

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
$571.09 / $729.37 / $729.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$669.20 / $836.88 / $918.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $900.00 / $900.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$714.49 / $903.19 / $1,148.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$685.14 / $1,039.00 / $7,567.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$611.07 / $814.66 / $5,175.28
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
$575.12 / $761.53 / $1,088.47