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New Hampshire 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
$100.00 / $3,074.26 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$821.94 / $892.47 / $3,074.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,769.10 / $5,299.00 / $8,600.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$920.06 / $1,388.28 / $2,063.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,061.98 / $1,734.65 / $2,504.21
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.53 / $1,851.94 / $3,075.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,155.00 / $11,155.00 / $11,155.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.44 / $1,395.41 / $2,508.86
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$647.97 / $712.77 / $907.16