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Maryland rates for HCPCS 57289

Pereyra procedure, including anterior colporrhaphy

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$667.41 / $676.65 / $4,105.81
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$786.29 / $811.93 / $910.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,291.48 / $3,291.48 / $3,291.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$722.26 / $997.85 / $2,053.75
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$823.96 / $1,095.86 / $1,775.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$677.19 / $878.30 / $1,587.53
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$736.44 / $947.55 / $1,169.25