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Alaska rates for HCPCS 57284

Paravaginal defect repair (including repair of cystocele, if performed); open abdominal approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,463.98 / $9,813.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,972.77 / $3,972.77 / $5,186.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,820.63 / $2,820.63 / $2,820.63
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,037.92 / $3,972.77 / $5,681.06
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,038.65 / $5,294.10 / $6,815.71
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,151.25 / $3,655.45 / $5,090.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,037.92 / $3,972.77 / $5,681.06
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,108.65 / $3,582.00 / $5,204.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,137.66 / $3,384.75 / $5,076.05