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Wisconsin rates for HCPCS 57285

Paravaginal Defect Repair Vaginal Approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$747.92 / $1,406.74 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,139.00 / $15,055.00 / $22,609.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,783.32 / $2,083.94 / $3,361.33
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$687.74 / $750.26 / $1,344.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$747.92 / $7,590.00 / $15,743.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$687.74 / $750.26 / $1,344.22
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,355.90 / $2,082.26 / $2,466.28
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,298.90 / $16,298.90 / $16,298.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,301.00 / $11,608.00 / $13,980.00