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Colorado rates for HCPCS 57426

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,506.00 / $3,734.00 / $10,651.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,990.00 / $19,587.00 / $44,198.00
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$806.77 / $1,153.68 / $1,452.19
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,072.83 / $1,321.74 / $1,699.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,804.00 / $8,586.00 / $15,893.00