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Oklahoma rates for HCPCS 28820

Amputation, toe; metatarsophalangeal joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $2,454.71 / $6,606.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $323.59 / $724.44
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $162.18 / $218.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,365.16 / $6,918.31 / $10,964.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $295.12 / $407.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $2,570.40 / $2,570.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $489.78 / $724.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $616.60 / $4,786.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $616.60 / $3,235.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $3,235.94 / $6,025.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $467.74 / $676.08