go back

Massachusetts rates for HCPCS 57295

Revj/Rmvl Prosthetic Vaginal Graft Vaginal App

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,758.00 / $2,747.00 / $4,806.64
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$818.35 / $2,628.00 / $7,619.68
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $802.71 / $8,090.00
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,701.33 / $4,701.33 / $4,835.54
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $3,715.00 / $9,496.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,902.00 / $3,764.00 / $8,766.00