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New York rates for HCPCS 57120

Colpocleisis (Le Fort type)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$678.68 / $5,157.00 / $10,965.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,100.00 / $7,264.00 / $12,274.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$750.29 / $750.29 / $8,917.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$604.85 / $604.85 / $7,227.90
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$59.84 / $59.84 / $59.84
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.00 / $583.00 / $1,384.67
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $604.85 / $7,227.90
MVP Health Care
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$59.84 / $59.84 / $59.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,264.00 / $5,735.00 / $11,176.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$610.19 / $610.19 / $1,650.55