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Minnesota rates for HCPCS 57423

Paravaginal defect repair (including repair of cystocele, if performed), laparoscopic approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $831.76 / $7,079.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,370.32 / $19,952.62 / $47,863.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $3,311.31 / $7,943.28
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$158.49 / $158.49 / $158.49
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $3,162.28 / $6,165.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $1,905.46 / $12,022.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $10,000.00 / $26,915.35