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Oklahoma rates for HCPCS 28430

Closed treatment of talus fracture; without manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$682.00 / $3,683.00 / $7,500.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$165.02 / $165.02 / $187.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.78 / $220.02 / $276.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,182.21 / $1,878.12 / $2,967.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.84 / $274.42 / $324.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$207.85 / $207.85 / $207.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.83 / $280.33 / $376.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.47 / $290.87 / $1,023.04
Medica
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$701.49 / $701.49 / $701.49
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.08 / $267.04 / $1,835.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.00 / $610.00 / $1,883.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.77 / $247.21 / $352.56