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Oklahoma rates for HCPCS 28202

Repair, tendon, flexor, foot; secondary with free graft, each tendon (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $3,742.00 / $12,600.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,409.25 / $10,182.03 / $16,087.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,627.83 / $7,627.83 / $7,627.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$470.09 / $705.46 / $4,596.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$884.00 / $2,900.00 / $5,543.93