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Oklahoma rates for HCPCS 21450

Closed Tx Mandibular Fracture W/O Manipulation

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
$477.42 / $506.44 / $615.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,383.45 / $5,375.10 / $8,492.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.45 / $703.38 / $772.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$440.17 / $440.17 / $440.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.13 / $620.94 / $879.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$461.00 / $646.32 / $1,676.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$491.53 / $634.84 / $4,385.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.00 / $610.00 / $1,883.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.65 / $593.30 / $836.57