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New York rates for HCPCS 57250

Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$832.83 / $5,324.00 / $11,396.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,100.00 / $7,264.00 / $12,274.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.48 / $2,644.00 / $12,319.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$703.10 / $703.10 / $7,289.38
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$69.31 / $69.31 / $69.31
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.00 / $652.91 / $1,605.22
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,035.74 / $6,497.78 / $13,641.91
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $703.10 / $7,289.38
MVP Health Care
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$69.31 / $69.31 / $69.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,264.00 / $5,735.00 / $11,176.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$706.98 / $706.98 / $1,834.81