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Oklahoma rates for HCPCS 28705

Arthrodesis Pantalar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,346.00 / $4,195.00 / $13,200.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,409.25 / $10,182.03 / $16,087.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,721.66 / $22,721.66 / $22,721.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,292.73 / $1,851.00 / $14,063.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,851.00 / $7,074.00 / $14,139.00