go back

Kentucky rates for HCPCS 57295

Revision (including removal) of prosthetic vaginal graft; vaginal approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $2,630.27 / $8,511.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $3,801.89 / $8,511.38
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $630.96 / $741.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $851.14 / $851.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $2,754.23 / $6,309.57