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Oklahoma rates for HCPCS 57296

Revision (including removal) of prosthetic vaginal graft; open abdominal approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $3,684.00 / $18,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$985.11 / $985.11 / $994.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$963.51 / $1,270.96 / $1,483.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$773.00 / $1,345.88 / $5,882.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$867.92 / $1,226.88 / $8,328.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.00 / $1,760.00 / $6,155.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$791.09 / $1,053.73 / $1,458.77