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Oklahoma rates for HCPCS 28106

Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus; with iliac or other autograft (includes obtaining graft)

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
$403.76 / $450.58 / $450.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$412.30 / $554.37 / $663.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,136.76 / $9,136.76 / $9,136.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.23 / $589.53 / $783.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$450.58 / $681.96 / $14,063.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$378.55 / $504.45 / $3,959.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,851.00 / $7,074.00 / $14,139.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.43 / $466.96 / $664.06