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Michigan rates for HCPCS 57250

Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $4,897.79 / $10,715.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $575.44 / $933.25
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $4,897.79 / $9,772.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $6,606.93 / $12,302.69