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Oklahoma rates for HCPCS 28304

Osteotomy Tarsal Bones Oth/Thn Calcaneus/Talus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$858.82 / $3,021.00 / $8,400.00
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
$5,659.86 / $5,659.86 / $5,659.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$656.36 / $950.02 / $9,344.49
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$284.14 / $284.14 / $284.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,851.00 / $6,871.00 / $14,139.00