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Virginia 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
$1,023.87 / $5,048.00 / $11,025.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,900.00 / $13,875.00 / $15,752.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$877.86 / $1,053.43 / $1,299.23
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$834.40 / $1,190.51 / $1,672.63
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$165.63 / $194.89 / $257.50
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$930.25 / $1,211.97 / $7,902.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,367.00 / $13,296.00 / $26,537.00