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Oklahoma rates for HCPCS 58672

Laparoscopy, surgical; with fimbrioplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,346.00 / $4,728.00 / $14,100.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$752.49 / $752.49 / $759.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,723.84 / $13,547.08 / $21,288.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.16 / $744.48 / $1,123.70
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
$741.57 / $983.95 / $1,160.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$759.59 / $1,349.01 / $14,139.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$692.16 / $971.12 / $7,167.45
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
$638.33 / $845.98 / $1,176.68