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Virginia rates for HCPCS 57120

Colpocleisis (Le Fort type)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$572.28 / $5,636.00 / $11,025.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,153.00 / $7,363.00 / $9,410.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$504.70 / $605.64 / $746.96
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$494.62 / $692.24 / $967.15
Medcost
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$130.24 / $189.79 / $206.72
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$91.17 / $132.86 / $144.71
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$531.02 / $680.50 / $5,122.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,303.00 / $9,373.00 / $17,192.00