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Colorado rates for HCPCS 57296

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,506.00 / $3,189.00 / $10,651.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$880.97 / $880.97 / $1,168.51
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,946.00 / $9,834.00 / $17,487.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,077.43 / $1,413.75 / $1,950.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,038.47 / $1,436.62 / $1,885.44
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$898.59 / $1,264.90 / $1,544.42
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,171.51 / $1,443.30 / $1,855.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,292.00 / $8,535.00 / $12,740.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.32 / $1,534.40 / $2,472.15