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Oklahoma rates for HCPCS 58555

Hysteroscopy, diagnostic (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$625.00 / $2,923.00 / $7,500.00
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$30.71 / $30.71 / $73.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.53 / $293.83 / $372.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,343.05 / $8,297.12 / $13,038.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.77 / $338.10 / $483.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.83 / $309.62 / $432.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.21 / $390.85 / $4,240.00
Medica
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$138.36 / $138.36 / $138.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.45 / $459.77 / $2,665.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$884.00 / $2,875.93 / $5,543.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.40 / $329.89 / $512.98