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Oklahoma rates for HCPCS 28635

Closed treatment of metatarsophalangeal joint dislocation; requiring anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $2,398.83 / $6,606.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $162.18 / $288.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $3,235.94 / $5,370.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $173.78 / $234.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $1,348.96 / $1,348.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $208.93 / $269.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $234.42 / $3,801.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $199.53 / $1,288.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $1,949.84 / $3,801.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $154.88 / $218.78