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New York rates for HCPCS 57289

Pereyra procedure, including anterior colporrhaphy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,003.46 / $5,164.00 / $11,161.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$694.47 / $905.85 / $1,553.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,989.00 / $9,720.00 / $16,411.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$603.80 / $789.30 / $1,814.46
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,124.00 / $4,275.50 / $16,534.50
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,124.00 / $1,124.00 / $1,124.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$905.72 / $905.72 / $7,289.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$722.26 / $1,257.93 / $2,860.59
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.00 / $845.00 / $2,068.81
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$919.47 / $1,070.84 / $1,602.59
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$648.77 / $774.00 / $1,457.83
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $905.72 / $7,289.38
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$798.83 / $1,382.77 / $2,863.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,264.00 / $5,735.00 / $11,176.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.56 / $1,092.32 / $2,245.77
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$910.59 / $910.59 / $2,419.46
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$658.69 / $960.08 / $1,683.02