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Virginia rates for HCPCS 57289

Pereyra procedure, including anterior colporrhaphy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$853.83 / $5,412.00 / $10,767.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$646.44 / $853.83 / $1,046.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,900.00 / $13,875.00 / $15,752.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$736.65 / $942.02 / $1,291.98
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$880.64 / $1,132.26 / $9,211.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$735.02 / $1,009.08 / $1,947.07
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$751.04 / $901.25 / $1,111.54
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$732.54 / $1,047.88 / $1,419.65
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$916.00 / $1,070.00 / $1,786.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$763.74 / $1,012.52 / $5,122.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$763.74 / $1,012.52 / $5,122.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,303.00 / $9,373.00 / $17,192.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$646.29 / $985.24 / $1,712.78