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Idaho rates for HCPCS 57289

Pereyra procedure, including anterior colporrhaphy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,415.00 / $4,500.00 / $8,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$924.67 / $934.62 / $1,385.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,106.15 / $1,343.58 / $1,511.74
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$919.47 / $1,289.11 / $1,542.35
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,273.45 / $1,340.48 / $1,543.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,097.29 / $1,380.46
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,306.08 / $18,816.75 / $23,096.74
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,226.07 / $1,226.07 / $1,491.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,360.00 / $16,762.00 / $17,870.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$768.95 / $999.58 / $1,508.53