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Indiana rates for HCPCS 57289

Pereyra procedure, including anterior colporrhaphy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$781.37 / $1,854.00 / $16,042.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$689.63 / $781.37 / $930.21
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,350.00 / $12,289.00 / $37,919.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$736.97 / $921.22 / $1,271.28
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$727.90 / $927.72 / $1,070.45
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$713.63 / $839.82 / $1,070.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,183.17 / $4,183.17 / $4,183.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$752.17 / $990.48 / $1,641.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,932.00 / $8,025.00 / $11,038.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$699.11 / $862.74 / $1,502.67