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Oklahoma rates for HCPCS 28130

Talectomy Astragalectomy

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
$537.32 / $645.49 / $645.49
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
$596.04 / $801.43 / $958.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,173.68 / $7,173.68 / $7,173.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$672.94 / $837.73 / $1,021.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.49 / $950.22 / $5,882.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.61 / $722.91 / $4,751.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$884.00 / $3,317.00 / $5,543.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.75 / $682.23 / $926.64