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Virginia rates for HCPCS 57295

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

Facilitymedian $3,388 · 10th–90th $525–$8,9130%5%10th90th$3,388Professionalmedian $589 · 10th–90th $437–$1,1750%10%10th90th$589$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$537.03 / $3,630.78 / $8,317.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,090.30 / $3,981.07 / $4,466.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $524.81 / $1,348.96
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$660.69 / $812.83 / $1,174.90
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$426.58 / $660.69 / $933.25
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$446.68 / $660.69 / $8,709.64
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,630.78 / $6,165.95 / $12,882.50