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Oklahoma rates for HCPCS 28264

Capsulotomy Midtarsal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$882.00 / $3,683.00 / $7,500.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,351.42 / $1,351.42 / $1,351.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$743.71 / $1,062.82 / $6,100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,481.00 / $5,910.00 / $9,232.95