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Oklahoma rates for HCPCS 58752

Tubouterine Implantation

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
$933.81 / $933.81 / $942.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$909.46 / $1,161.34 / $1,404.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.81 / $1,458.51 / $7,214.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$835.24 / $1,162.40 / $6,731.68
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
$806.48 / $1,043.68 / $1,451.66