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Texas rates for HCPCS 57200

Colporrhaphy, suture of injury of vagina (nonobstetrical)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$438.90 / $2,276.00 / $8,002.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,090.94 / $3,922.02 / $7,494.30
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219.78 / $2,678.82 / $3,548.51
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$296.98 / $3,700.10 / $3,700.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,403.30 / $2,403.30 / $2,403.30
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,496.40 / $12,000.00 / $12,000.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$313.44 / $399.14 / $677.70
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$313.44 / $400.97 / $758.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,154.00 / $3,314.00 / $7,600.00