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Indiana 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
$818.51 / $1,386.00 / $16,042.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$725.72 / $818.51 / $974.41
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,429.00 / $10,338.00 / $26,304.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$832.12 / $1,040.16 / $1,435.42
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$769.30 / $980.49 / $1,131.33
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$754.22 / $865.47 / $1,131.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$843.61 / $1,069.58 / $1,734.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,699.00 / $10,000.00 / $15,750.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$782.22 / $954.90 / $1,517.92