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Washington rates for HCPCS 57295

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

Facilitymedian $3,388 · 10th–90th $776–$17,7830%5%10%10th90th$3,388$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$954.99 / $8,317.64 / $20,892.96
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,754.40 / $8,317.64 / $16,982.44
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,398.83 / $2,398.83 / $3,981.07
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$645.65 / $1,148.15 / $7,943.28
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$602.56 / $933.25 / $977.24
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$676.08 / $676.08 / $691.83
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,754.40 / $8,709.64 / $16,982.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,691.53 / $10,232.93 / $18,620.87