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Oklahoma rates for HCPCS 21454

Open treatment of mandibular fracture with external fixation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,392.00 / $4,856.00 / $14,100.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$406.60 / $510.80 / $510.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$470.75 / $632.96 / $803.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,050.67 / $6,050.67 / $6,050.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.23 / $697.64 / $898.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$510.80 / $812.48 / $5,962.62
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$449.40 / $597.16 / $5,937.38
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
$428.65 / $564.59 / $761.54