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Oklahoma rates for HCPCS 28102

Exc/Curtg Cst/B9 Tum Talus/Clcns W/Iliac/Agrft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,048.00 / $3,803.00 / $12,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$510.43 / $640.74 / $651.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,409.25 / $10,182.03 / $16,087.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$584.50 / $785.90 / $939.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,117.14 / $8,117.14 / $8,117.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$554.57 / $737.91 / $953.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$640.74 / $870.07 / $14,063.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$509.58 / $664.66 / $4,694.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,209.00 / $8,835.00 / $14,587.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.16 / $616.86 / $906.48