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Oklahoma rates for HCPCS 40844

Vestibuloplasty; entire arch

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,392.00 / $4,714.00 / $14,100.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,254.05 / $1,595.17 / $1,595.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,187.27 / $1,578.43 / $1,994.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,254.05 / $1,836.91 / $8,124.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,314.41 / $2,277.50 / $11,116.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,280.00 / $5,524.00 / $9,232.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,239.75 / $1,627.17 / $2,804.94