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Oklahoma rates for HCPCS 28122

Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); tarsal or metatarsal bone, except talus or calcaneus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $2,238.72 / $6,760.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $602.56 / $1,258.93
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $316.23 / $676.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,025.60 / $9,549.93 / $15,135.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $575.44 / $776.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $2,570.40 / $2,570.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $691.83 / $891.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $794.33 / $5,495.41
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$204.17 / $204.17 / $204.17
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $707.95 / $4,466.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $3,235.94 / $6,025.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $549.54 / $776.25