go back

Montana rates for HCPCS 57295

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

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$797.11 / $797.11 / $797.11
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$391.09 / $856.05 / $898.78