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Oklahoma rates for HCPCS 28750

Arthrodesis, great toe; metatarsophalangeal joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$983.84 / $4,192.00 / $13,200.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.59 / $724.30 / $855.12
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.92 / $358.92 / $358.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,528.20 / $10,236.61 / $15,969.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.29 / $765.60 / $1,040.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,985.28 / $7,985.28 / $7,985.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$614.92 / $847.76 / $1,177.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$628.11 / $927.64 / $9,344.49
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$264.92 / $264.92 / $264.92
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$693.26 / $952.32 / $5,798.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,851.00 / $6,980.00 / $14,139.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$663.76 / $854.59 / $1,228.79