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Oklahoma rates for HCPCS 21433

Open treatment of craniofacial separation (LeFort III type); complicated (eg, comminuted or involving cranial nerve foramina), multiple surgical approaches

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,439.00 / $4,195.00 / $13,200.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,447.16 / $1,821.70 / $1,838.74
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
$1,665.30 / $2,239.12 / $2,842.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $900.00 / $900.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,790.15 / $2,237.69 / $2,768.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,625.87 / $2,431.69 / $8,085.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,523.04 / $1,937.99 / $12,714.80
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
$1,458.31 / $1,822.89 / $2,570.27