go back

Oklahoma rates for HCPCS 28755

Arthrodesis, great toe; interphalangeal joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,293.00 / $4,195.00 / $13,200.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,739.38 / $7,431.64 / $11,593.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,659.86 / $5,659.86 / $5,659.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$368.16 / $565.30 / $4,705.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$884.00 / $3,317.00 / $5,543.93