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Indiana 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
$942.51 / $1,060.26 / $4,846.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$839.12 / $942.51 / $1,122.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,091.00 / $15,450.00 / $23,392.06
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$905.80 / $1,132.25 / $1,562.50
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$879.24 / $1,120.59 / $1,293.00
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$862.00 / $989.15 / $1,293.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$941.87 / $1,148.66 / $1,967.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,403.00 / $5,242.00 / $10,843.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$900.63 / $1,112.67 / $1,686.70