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Oklahoma rates for HCPCS 28103

Excision or curettage of bone cyst or benign tumor, talus or calcaneus; with allograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $3,467.37 / $6,918.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $389.05 / $776.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,025.60 / $9,332.54 / $15,488.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $467.74 / $549.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,511.38 / $8,511.38 / $8,511.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $549.54 / $758.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $1,584.89 / $14,125.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $467.74 / $3,981.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $7,762.47 / $14,454.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $416.87 / $588.84