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Texas rates for HCPCS 57287

Removal or revision of sling for stress incontinence (eg, fascia or synthetic)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$923.00 / $3,682.00 / $12,040.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,248.29 / $3,971.98 / $7,894.00
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$795.00 / $3,221.19 / $8,000.00
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.74 / $3,006.55 / $3,006.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,403.30 / $2,403.30 / $2,403.30
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $9,496.40
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$168.98 / $900.13 / $900.13
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.59 / $912.76 / $1,524.24
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.59 / $913.54 / $1,785.26
Providence
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$241.79 / $241.79 / $241.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,634.00 / $4,345.00 / $10,600.00