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Oklahoma rates for HCPCS 57155

Insertion of uterine tandem and/or vaginal ovoids for clinical brachytherapy

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
$232.93 / $314.86 / $400.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,876.28 / $6,114.88 / $9,729.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.84 / $451.16 / $509.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.85 / $447.96 / $617.67
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$291.58 / $475.49 / $2,417.01
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.24 / $511.56 / $4,954.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$352.00 / $1,279.00 / $2,637.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.37 / $438.48 / $640.63