go back

Oklahoma rates for HCPCS 57426

Revision (including removal) of prosthetic vaginal graft, laparoscopic approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,346.00 / $4,714.00 / $14,100.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,671.93 / $12,125.94 / $19,307.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,321.00 / $2,321.00 / $2,321.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$893.21 / $1,250.49 / $7,077.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,091.00 / $4,054.00 / $7,077.94