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Massachusetts rates for HCPCS 57267

Insertion of mesh or other prosthesis for repair of pelvic floor defect, each site (anterior, posterior compartment), vaginal approach (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,256.38 / $3,107.00 / $8,271.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$577.28 / $966.90 / $26,542.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$62.90 / $62.90 / $119.91
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$247.94 / $515.02 / $6,679.00
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.00 / $2,217.00 / $26,542.00
Mass General Brigham
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$62.90 / $62.90 / $119.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.00 / $1,818.00 / $2,733.00