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Oklahoma rates for HCPCS 58615

Occlusion of fallopian tube(s) by device (eg, band, clip, Falope ring) vaginal or suprapubic approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $3,467.37 / $6,760.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $251.19 / $446.68
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
$239.88 / $309.03 / $426.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $331.13 / $389.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $1,621.81 / $6,760.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $288.40 / $2,818.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $3,311.31 / $6,025.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $269.15 / $371.54