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Oklahoma rates for HCPCS 28555

Open treatment of tarsal bone dislocation, includes internal fixation, when performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$916.00 / $3,683.00 / $8,400.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,873.50 / $12,508.22 / $19,762.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,117.62 / $8,117.62 / $8,117.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.25 / $993.24 / $9,344.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,851.00 / $7,074.00 / $14,139.00