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Florida 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
$813.39 / $5,839.00 / $11,576.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.83 / $825.38 / $1,097.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.00 / $400.00 / $10,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$815.55 / $1,239.27 / $1,990.39
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,460.00 / $21,065.00 / $32,051.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$669.08 / $716.87 / $1,260.91
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.51 / $842.38 / $1,262.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$677.00 / $5,350.00 / $13,093.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$789.62 / $1,125.33 / $1,958.19
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$683.72 / $683.72 / $683.72