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Oklahoma rates for HCPCS 28645

Open Tx Metatarsophalangeal Joint Dislocation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $3,821.00 / $12,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.29 / $531.85 / $675.67
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$633.35 / $709.20 / $709.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,873.50 / $12,508.22 / $19,762.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$482.13 / $640.16 / $860.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,545.78 / $2,545.78 / $2,545.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $645.00 / $916.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$499.36 / $737.10 / $4,596.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$526.04 / $717.34 / $4,876.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$886.00 / $3,317.00 / $5,543.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$517.94 / $649.02 / $954.31