go back

Delaware 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
$6,907.00 / $6,907.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$872.16 / $872.16 / $935.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$875.29 / $1,199.10 / $1,432.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$838.37 / $1,111.10 / $2,164.80