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Oklahoma rates for HCPCS 21451

Closed Tx Mandibular Fracture W/Manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,184.00 / $4,192.00 / $13,200.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$623.50 / $676.33 / $801.77
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
$1,059.77 / $1,059.77 / $1,059.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$591.16 / $833.04 / $1,144.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$640.00 / $883.23 / $3,704.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.22 / $823.04 / $5,713.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.00 / $1,990.00 / $4,012.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$583.29 / $747.46 / $1,069.42