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Oklahoma rates for HCPCS 28810

Amputation, metatarsal, with toe, single

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $3,683.00 / $8,400.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$223.34 / $223.34 / $223.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.43 / $446.67 / $475.73
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$369.90 / $545.12 / $686.68
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
$408.45 / $549.19 / $610.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,545.78 / $2,545.78 / $2,545.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.80 / $569.91 / $724.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.67 / $673.23 / $5,543.93
Medica
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$870.38 / $6,791.96 / $6,791.96
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$108.80 / $849.00 / $849.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$379.47 / $491.07 / $3,259.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$884.00 / $3,317.00 / $5,543.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.14 / $450.89 / $659.16