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Oklahoma rates for HCPCS 58615

Occlusion Flp Tube Dev Vag/Suprapubic Appr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,048.00 / $3,779.00 / $12,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.13 / $260.13 / $262.58
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
$241.29 / $306.39 / $424.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.08 / $333.02 / $390.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$260.13 / $457.01 / $6,167.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.69 / $324.05 / $2,806.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$880.00 / $2,900.00 / $5,543.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.87 / $282.60 / $418.06