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Maine rates for HCPCS 57295

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,490.74 / $5,188.14 / $5,188.14
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,055.70 / $4,055.70 / $5,188.14