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Pennsylvania rates for HCPCS 57250

Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$915.55 / $4,894.00 / $12,746.09
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,431.95 / $7,827.00 / $19,139.18
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,352.50 / $10,837.13 / $22,126.73
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.00 / $5,847.91 / $12,047.32
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.33 / $606.33 / $707.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $3,475.00 / $6,000.00