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Oklahoma rates for HCPCS 28515

Cltx Fx Phlx/Phlg Oth/Thn Grt Toe W/Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$214.63 / $2,444.00 / $7,500.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$110.93 / $110.93 / $126.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.35 / $147.91 / $169.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$897.89 / $1,404.36 / $2,202.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.69 / $183.59 / $222.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.30 / $177.30 / $177.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.80 / $184.65 / $256.85
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$145.66 / $198.63 / $940.92
Medica
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$474.73 / $474.73 / $474.73
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.28 / $176.97 / $1,264.80
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
$134.83 / $165.17 / $241.77