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Oklahoma rates for HCPCS 28305

Osteotomy, tarsal bones, other than calcaneus or talus; with autograft (includes obtaining graft) (eg, Fowler type)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,048.00 / $3,803.00 / $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
$7,854.89 / $7,854.89 / $7,854.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$715.59 / $1,091.08 / $14,063.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,851.00 / $6,980.00 / $14,139.00