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Oklahoma rates for HCPCS 21435

Open treatment of craniofacial separation (LeFort III type); complicated, utilizing internal and/or external fixation techniques (eg, head cap, halo device, and/or intermaxillary fixation)

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
$1,171.89 / $1,473.52 / $1,489.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,345.40 / $1,808.99 / $2,296.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $900.00 / $900.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,393.25 / $1,741.57 / $2,128.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,397.34 / $1,870.67 / $8,085.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,221.24 / $1,536.21 / $10,906.00
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
$1,177.09 / $1,427.25 / $2,079.64