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Oklahoma rates for HCPCS 28800

Amputation Foot Midtarsal

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
$7,002.60 / $10,148.45 / $14,128.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $900.00 / $900.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$559.33 / $799.84 / $5,882.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,157.00 / $4,424.00 / $7,077.94