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Oklahoma rates for HCPCS 28490

Closed treatment of fracture great toe, phalanx or phalanges; without manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $2,398.83 / $6,606.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $138.04 / $302.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $1,288.25 / $2,137.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $154.88 / $181.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $162.18 / $162.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $165.96 / $223.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $177.83 / $1,548.82
Medica
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$416.87 / $416.87 / $416.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $158.49 / $1,096.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $616.60 / $1,659.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $131.83 / $181.97