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Oklahoma rates for HCPCS 57291

Construction of artificial vagina; without graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $3,890.45 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $562.34 / $977.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,248.07 / $8,317.64 / $13,489.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $660.69 / $812.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $707.95 / $851.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $1,949.84 / $9,772.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $645.65 / $5,011.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $3,311.31 / $6,165.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $575.44 / $812.83