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Oklahoma rates for HCPCS 28825

Amputation, toe; interphalangeal joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $3,165.00 / $8,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.97 / $307.39 / $545.25
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.91 / $201.14 / $252.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,726.17 / $7,392.01 / $11,593.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.80 / $287.70 / $452.59
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
$209.18 / $486.83 / $717.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.23 / $499.86 / $4,596.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$441.47 / $565.13 / $3,071.98
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
$418.69 / $522.75 / $783.65