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Ohio rates for HCPCS 57289

Pereyra procedure, including anterior colporrhaphy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,150.36 / $6,251.00 / $11,581.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$773.62 / $773.62 / $2,042.36
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,097.00 / $7,398.00 / $36,529.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$589.45 / $818.30 / $1,400.09
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$748.39 / $898.07 / $1,111.56
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$653.74 / $823.23 / $823.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$633.70 / $1,039.94 / $1,571.62
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$748.39 / $1,047.75 / $1,569.36
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.97 / $735.16 / $1,092.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,840.00 / $5,998.00 / $7,847.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$697.31 / $980.92 / $1,639.20