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Oklahoma rates for HCPCS 28540

Closed treatment of tarsal bone dislocation, other than talotarsal; without anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $1,778.28 / $6,606.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $186.21 / $354.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $229.09 / $281.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $194.98 / $194.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $245.47 / $309.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $263.03 / $1,548.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $223.87 / $1,513.56
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
$144.54 / $186.21 / $263.03