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Georgia rates for HCPCS 57426

Revision Prosthetic Vaginal Graft Laparoscopic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,509.86 / $6,439.00 / $14,497.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,226.13 / $6,105.48 / $13,137.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,942.88 / $3,942.88 / $31,200.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$858.72 / $1,116.33 / $4,678.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,519.00 / $6,351.00 / $8,836.00