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Kansas 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
$1,930.00 / $7,655.00 / $13,151.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$934.97 / $934.97 / $1,392.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,229.19 / $1,446.10 / $1,446.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$854.64 / $1,396.00 / $1,942.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,305.19 / $4,478.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$988.86 / $1,209.10 / $8,328.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$783.00 / $1,743.00 / $8,198.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$976.57 / $1,087.75 / $1,831.01