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Maryland rates for HCPCS 57120

Colpocleisis (Le Fort type)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.41 / $5,423.58 / $7,302.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,346.87 / $2,346.87 / $2,346.87
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$552.52 / $734.85 / $1,187.36