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Minnesota rates for HCPCS 57295

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $457.09 / $8,317.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,818.38 / $6,760.83 / $14,454.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $1,819.70 / $4,365.16
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $1,737.80 / $3,388.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $1,000.00 / $7,762.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $5,248.07 / $8,912.51