go back

Nebraska 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
$5,463.36 / $10,506.16 / $21,899.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$765.09 / $765.09 / $4,332.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,990.74 / $13,540.02 / $25,418.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$738.88 / $1,259.45 / $1,679.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,539.75 / $1,913.47 / $2,467.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$820.34 / $1,453.67 / $8,632.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,036.29 / $1,886.37 / $6,195.76
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,408.00 / $1,849.87 / $2,584.14
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,247.06 / $1,834.79 / $2,467.27
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $1,232.90 / $2,105.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,178.00 / $7,441.00 / $8,816.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,177.60 / $1,830.00 / $2,286.00