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Oklahoma rates for HCPCS 58750

Tubotubal anastomosis

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
$936.07 / $936.07 / $944.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,380.40 / $11,665.17 / $18,573.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$730.16 / $924.21 / $1,387.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$913.06 / $1,205.66 / $1,420.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$936.07 / $1,449.11 / $7,214.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$845.88 / $1,169.15 / $7,322.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,091.00 / $4,054.00 / $7,077.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$789.60 / $1,024.54 / $1,524.97