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
$436.22 / $787.00 / $8,229.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,643.00 / $3,498.00 / $8,517.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$473.43 / $646.80 / $746.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$571.26 / $571.26 / $571.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$599.00 / $2,723.00 / $6,295.00