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Arizona rates for HCPCS 57250

Post Colporrhaphy Rectocele W/Wo Perineorrhaphy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,903.00 / $4,521.00 / $7,963.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$944.35 / $3,532.98 / $5,814.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,100.10 / $4,100.10 / $4,100.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$540.22 / $822.07 / $6,117.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$156.78 / $1,196.53 / $1,196.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $4,545.00 / $7,217.00