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Arizona rates for HCPCS 57426

Revision Prosthetic Vaginal Graft Laparoscopic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,965.00 / $4,521.00 / $8,104.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$944.35 / $3,532.98 / $5,814.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,750.38 / $5,750.38 / $5,750.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.93 / $1,216.03 / $6,117.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,878.00 / $4,545.00 / $7,217.00