go back

Oklahoma rates for HCPCS 58760

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
$844.02 / $844.02 / $851.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$658.30 / $833.25 / $1,248.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$821.14 / $1,084.32 / $1,276.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$844.02 / $1,310.11 / $6,729.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$765.70 / $1,050.99 / $7,017.19
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
$685.42 / $916.74 / $1,370.83