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Alaska rates for HCPCS 57289

Pereyra procedure, including anterior colporrhaphy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,332.52 / $9,813.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,760.79 / $3,760.79 / $4,782.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,643.41 / $2,643.41 / $2,643.41
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$973.93 / $3,760.79 / $5,377.93
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,929.48 / $5,010.60 / $6,430.58
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,982.50 / $3,459.70 / $4,721.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$973.93 / $3,760.79 / $5,377.93
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,034.55 / $3,397.50 / $4,856.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,034.98 / $3,172.08 / $4,680.45