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Arizona rates for HCPCS 57289

Pereyra procedure, including anterior colporrhaphy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,352.00 / $4,521.00 / $7,963.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$694.11 / $773.62 / $4,105.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$944.35 / $3,532.98 / $5,814.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$678.57 / $904.76 / $1,130.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,750.38 / $5,750.38 / $5,750.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$705.12 / $920.78 / $1,651.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$754.47 / $1,034.22 / $6,117.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$683.52 / $863.87 / $5,898.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $4,545.00 / $7,217.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$662.16 / $846.63 / $1,566.41