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Oklahoma rates for HCPCS 21436

Open treatment of craniofacial separation (LeFort III type); complicated, multiple surgical approaches, internal fixation, with bone grafting (includes obtaining graft)

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
$1,697.62 / $2,134.96 / $2,155.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,334.39 / $2,766.69 / $3,403.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $900.00 / $900.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,119.16 / $2,648.95 / $3,210.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,866.14 / $2,803.19 / $8,085.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,767.29 / $2,244.09 / $14,951.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.00 / $6,140.00 / $10,376.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,709.78 / $2,080.11 / $3,013.49