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New York 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
$1,083.64 / $5,164.00 / $11,161.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$726.90 / $1,005.13 / $2,132.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,100.00 / $7,264.00 / $12,274.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$651.08 / $851.09 / $2,029.54
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,180.78 / $2,644.00 / $13,477.50
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,180.78 / $1,180.78 / $1,180.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$951.46 / $951.46 / $7,227.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$820.10 / $1,393.22 / $2,981.94
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.00 / $1,428.74 / $2,504.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$970.94 / $1,132.06 / $1,694.18
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$680.13 / $954.60 / $1,528.29
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $951.46 / $7,227.90
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$853.20 / $1,393.22 / $2,981.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,337.00 / $6,450.00 / $12,742.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$792.42 / $1,143.00 / $2,159.50
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.60 / $954.60 / $2,726.29
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.27 / $1,014.95 / $1,764.36