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Oklahoma rates for HCPCS 58662

Laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic viscera, or peritoneal surface by any method

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $5,754.40 / $10,471.29
Aetna
Facility/Professional
Facility
Modifier
22
Low / Median / High Price
$5,623.41 / $5,623.41 / $5,623.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,128.31 / $12,882.50 / $20,417.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $2,344.23 / $2,344.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $4,168.69 / $14,454.40
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$1,548.82 / $1,548.82 / $1,548.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $7,762.47 / $14,454.40