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Washington, DC rates for HCPCS 57426

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,017.00 / $4,673.00 / $7,007.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$902.01 / $1,989.36 / $1,989.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,648.00 / $3,378.00 / $26,408.00