go back

Indiana rates for HCPCS 57120

Colpocleisis (Le Fort type)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$523.39 / $1,386.00 / $16,042.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,429.00 / $10,338.00 / $26,304.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.45 / $623.80 / $719.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,982.66 / $2,982.66 / $2,982.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,932.00 / $8,025.00 / $11,038.00