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Oklahoma rates for HCPCS 57105

Biopsy of vaginal mucosa; extensive, requiring suture (including cysts)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$838.00 / $3,165.00 / $8,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.84 / $179.18 / $180.88
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.05 / $221.05 / $221.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,866.13 / $6,110.65 / $9,729.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.91 / $165.93 / $233.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.50 / $181.82 / $222.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.24 / $198.06 / $4,830.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.29 / $181.03 / $1,555.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$884.00 / $2,900.00 / $5,543.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.66 / $166.61 / $264.94