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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
$933.25 / $3,715.35 / $12,022.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $6,760.83 / $13,182.57
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $2,511.89 / $6,309.57
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $4,168.69 / $4,168.69
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,589.25 / $42,657.95 / $42,657.95
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$1,258.93 / $1,258.93 / $1,258.93
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $1,122.02 / $6,918.31
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $741.31 / $1,380.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $5,248.07 / $10,964.78