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Oklahoma rates for HCPCS 28615

Open Treatment Tarsometatarsal Joint Dislocation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,150.00 / $3,742.00 / $12,600.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,997.28 / $12,508.22 / $19,618.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,231.30 / $7,231.30 / $7,231.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.35 / $1,181.16 / $14,063.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$214.60 / $2,411.58 / $2,411.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,851.00 / $6,980.00 / $14,139.00