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Oklahoma rates for HCPCS 58671

Laparoscopy, surgical; with occlusion of oviducts by device (eg, band, clip, or Falope ring)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $3,909.00 / $12,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.06 / $380.07 / $383.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,115.23 / $9,496.21 / $14,922.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.39 / $375.16 / $559.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,321.00 / $2,321.00 / $2,321.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$369.47 / $491.89 / $572.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$383.65 / $1,100.00 / $14,139.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.10 / $475.86 / $2,806.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,570.00 / $6,980.00 / $13,541.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.62 / $409.90 / $589.16