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Oklahoma rates for HCPCS 58760

Fimbrioplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $3,890.45 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $812.83 / $1,479.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,023.29 / $1,258.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $2,691.53 / $7,244.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $977.24 / $7,079.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $4,073.80 / $8,317.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $870.96 / $1,230.27