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Oklahoma rates for HCPCS 28630

Cltx Metatarsophlngl Jt Dislc W/O Anes

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.31 / $146.58 / $159.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.11 / $147.00 / $201.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.13 / $174.10 / $232.17
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.96 / $170.14 / $1,166.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.63 / $157.32 / $228.48