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Indiana rates for HCPCS 57250

Post Colporrhaphy Rectocele W/Wo Perineorrhaphy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$684.13 / $5,867.93 / $18,500.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,719.00 / $10,700.00 / $17,513.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$567.32 / $723.06 / $834.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,982.66 / $2,982.66 / $2,982.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,932.00 / $8,025.00 / $11,038.00