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Oklahoma rates for HCPCS 57289

Pereyra procedure, including anterior colporrhaphy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,346.00 / $4,728.00 / $14,100.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$814.85 / $814.85 / $822.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$780.95 / $992.52 / $1,202.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$822.54 / $1,276.06 / $7,992.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$712.50 / $1,012.50 / $5,898.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,157.00 / $4,295.34 / $7,077.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$678.47 / $863.42 / $1,307.89