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Oklahoma rates for HCPCS 28645

Open treatment of metatarsophalangeal joint dislocation, includes internal fixation, when performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $2,630.27 / $8,912.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $588.84 / $1,071.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,413.10 / $11,481.54 / $19,054.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $630.96 / $851.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $2,570.40 / $2,570.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $676.08 / $954.99
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $851.14 / $5,495.41
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $724.44 / $4,897.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $3,235.94 / $6,025.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $562.34 / $794.33