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Arkansas 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
$945.06 / $1,688.00 / $3,109.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.69 / $945.06 / $1,173.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,714.07 / $4,714.07 / $5,656.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$813.04 / $1,076.08 / $1,076.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,539.88 / $4,539.88 / $4,539.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$968.08 / $1,313.64 / $1,446.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,565.00 / $2,828.00 / $6,992.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$749.50 / $960.81 / $1,582.02