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Oklahoma rates for HCPCS 57291

Construction Artificial Vagina W/O Graft

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
$563.25 / $563.25 / $568.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,597.31 / $8,846.89 / $14,086.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$530.60 / $663.55 / $728.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$539.75 / $723.67 / $882.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$568.55 / $886.00 / $7,405.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$507.68 / $705.68 / $5,060.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$886.00 / $2,875.93 / $5,543.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$481.00 / $641.28 / $981.80