go back

West Virginia 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
$781.82 / $781.82 / $2,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$673.64 / $781.82 / $915.07
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$889.26 / $995.35 / $1,084.46
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$963.96 / $963.96 / $963.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$951.46 / $951.46 / $951.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.87 / $1,140.83 / $4,706.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$667.74 / $1,066.60 / $1,459.21