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Alaska rates for HCPCS 57426

Revision (including removal) of prosthetic vaginal graft, laparoscopic approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,566.30 / $9,813.00 / $14,552.94
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,077.65 / $4,137.72 / $5,916.95
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,077.65 / $4,137.72 / $5,916.95