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Louisiana 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
$933.25 / $2,691.53 / $6,606.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $912.01 / $1,380.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,265.80 / $8,317.64 / $12,302.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,071.52 / $1,318.26
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $39.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $1,023.29 / $1,479.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $5,248.07 / $11,748.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $954.99 / $1,513.56