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Oklahoma rates for HCPCS 21497

Interdental Wiring Other Than Fracture

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$916.00 / $3,683.00 / $8,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$572.57 / $620.61 / $737.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,585.95 / $10,462.75 / $16,531.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$672.35 / $840.82 / $923.23
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
$461.49 / $755.29 / $1,057.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$576.07 / $829.28 / $3,436.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$584.00 / $742.73 / $5,257.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$690.00 / $2,517.00 / $4,083.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$565.89 / $707.36 / $1,088.05