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New York rates for HCPCS 57295

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$637.29 / $4,260.00 / $9,868.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,393.00 / $4,120.00 / $8,836.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.88 / $707.88 / $8,917.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$571.26 / $571.26 / $5,246.94
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.00 / $835.00 / $1,336.00
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,465.81 / $3,465.81 / $3,465.81
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $571.26 / $5,246.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,031.00 / $4,840.00 / $9,202.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$576.66 / $576.66 / $1,574.60