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Georgia 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
$774.84 / $5,045.00 / $6,915.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$774.84 / $1,042.53 / $2,426.67
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,538.99 / $5,842.74 / $14,965.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$955.76 / $1,402.76 / $2,517.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$550.00 / $550.00 / $550.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,005.90 / $1,612.25 / $2,639.22
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$942.82 / $1,225.67 / $4,453.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$607.00 / $3,629.00 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$958.57 / $1,306.83 / $2,245.98