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California rates for HCPCS 57289

Pereyra procedure, including anterior colporrhaphy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,616.00 / $9,006.00 / $19,860.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$664.40 / $744.96 / $4,105.81
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,403.00 / $9,830.00 / $19,252.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$921.19 / $1,207.38 / $2,321.40
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $11,729.10
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$529.14 / $820.57 / $2,001.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,943.21 / $4,660.16 / $10,978.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$711.36 / $959.19 / $2,841.36
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$597.91 / $890.70 / $1,202.45
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$796.94 / $1,024.31 / $1,812.12
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,664.95 / $17,704.40 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,709.04 / $5,898.64 / $6,690.08
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$808.67 / $1,022.51 / $1,564.71
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$730.58 / $1,019.51 / $2,181.21
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,547.56 / $2,547.56 / $2,547.56
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$597.91 / $837.07 / $1,016.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,244.00 / $9,713.00 / $21,278.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$598.42 / $917.59 / $2,502.83