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Oklahoma rates for HCPCS 54901

Epididymovasostomy Anast Epididymis Bi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,338.72 / $4,192.00 / $13,200.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,085.17 / $1,338.72 / $1,338.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,289.43 / $6,779.72 / $10,794.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,376.03 / $1,376.03 / $1,405.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,064.51 / $1,425.37 / $1,707.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,042.00 / $1,685.78 / $6,698.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$992.29 / $1,351.21 / $8,061.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$884.00 / $2,875.93 / $5,543.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$915.11 / $1,212.79 / $1,736.39