go back

Oregon rates for HCPCS 57120

Colpocleisis Le Fort Type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,102.41 / $7,920.26 / $20,400.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$849.88 / $1,221.04 / $1,374.77
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$619.45 / $1,032.31 / $1,415.24
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$700.59 / $968.82 / $1,075.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$619.45 / $1,148.40 / $1,369.53
Providence
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$203.51 / $203.51 / $203.51
Providence
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$172.99 / $172.99 / $172.99
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,039.76 / $15,838.63 / $18,619.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $12,835.00 / $26,404.00