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New York 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
$1,190.57 / $5,164.00 / $11,880.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,989.00 / $9,720.00 / $16,411.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,316.97 / $2,644.00 / $12,319.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,061.17 / $12,209.00 / $34,562.00
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$104.13 / $104.13 / $104.13
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $1,581.96 / $2,958.30
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,687.50 / $6,687.50 / $6,687.50
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$597.00 / $5,855.00 / $34,562.00
MVP Health Care
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$104.13 / $104.13 / $104.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,444.00 / $6,762.00 / $16,403.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,062.85 / $1,062.85 / $2,948.57