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Maine rates for HCPCS 57289

Pereyra procedure, including anterior colporrhaphy

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$793.53 / $793.53 / $802.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$858.57 / $1,031.31 / $1,524.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$873.80 / $1,134.76 / $1,728.47
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$883.54 / $1,137.92 / $1,745.63
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$793.53 / $793.53 / $802.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$790.10 / $1,067.18 / $1,584.37