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Oklahoma rates for HCPCS 21440

Closed treatment of mandibular or maxillary alveolar ridge fracture (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $3,779.00 / $12,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$445.93 / $572.84 / $710.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,383.45 / $5,375.10 / $8,492.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$971.49 / $971.49 / $971.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.07 / $666.36 / $924.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.05 / $748.22 / $4,294.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$476.60 / $647.09 / $5,632.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$884.00 / $3,317.00 / $5,543.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.40 / $582.38 / $912.40