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Maryland rates for HCPCS 57284

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$692.08 / $703.71 / $4,332.60
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$906.86 / $925.88 / $1,036.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$771.45 / $1,104.25 / $2,140.06
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.03 / $1,157.14 / $1,850.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$725.51 / $990.02 / $1,668.36
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$805.47 / $1,000.53 / $1,234.98