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Maryland rates for HCPCS 57296

Revision (including removal) of prosthetic vaginal graft; open abdominal approach

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$800.43 / $815.26 / $4,961.67
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,018.41 / $1,159.88 / $1,325.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$879.96 / $1,276.68 / $2,469.03
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$994.64 / $1,283.08 / $2,113.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$821.69 / $1,111.69 / $1,917.41
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$894.70 / $1,143.83 / $1,411.70