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Oklahoma rates for HCPCS 57120

Colpocleisis Le Fort Type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,346.00 / $4,728.00 / $14,100.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,866.13 / $6,110.65 / $9,729.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$543.37 / $913.00 / $6,889.15
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$1,196.53 / $1,196.53 / $1,196.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,091.00 / $4,054.00 / $7,077.94