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Texas rates for HCPCS 57250

Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$806.09 / $3,580.00 / $10,893.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,571.00 / $6,578.17 / $12,900.05
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $4,747.47 / $10,885.77
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$534.48 / $4,171.12 / $4,171.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,194.69 / $3,194.69 / $3,194.69
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,500.00 / $26,542.00 / $26,542.00
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$139.55 / $1,196.53 / $1,196.53
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$521.84 / $732.52 / $1,301.91
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$521.84 / $740.05 / $1,577.29
Providence
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$236.02 / $236.02 / $236.02
Providence
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$200.61 / $200.61 / $200.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,634.00 / $4,345.00 / $10,600.00