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Oklahoma rates for HCPCS 28630

Closed treatment of metatarsophalangeal joint dislocation; without anesthesia

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $141.25 / $245.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $147.91 / $204.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $177.83 / $234.42
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $173.78 / $1,174.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $131.83 / $194.98