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Louisiana rates for HCPCS 57295

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$605.99 / $1,850.00 / $3,945.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,475.37 / $4,608.04 / $6,626.96
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,329.29 / $4,329.29 / $4,329.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$746.00 / $2,415.00 / $6,585.00