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Oklahoma rates for HCPCS 28805

Amputation, foot; transmetatarsal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,048.00 / $3,803.00 / $12,600.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,510.01 / $10,182.03 / $15,969.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $900.00 / $900.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$709.20 / $1,049.46 / $5,690.67
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$182.01 / $736.98 / $736.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$884.00 / $3,317.00 / $5,543.93