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Maryland rates for HCPCS 57426

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

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,291.48 / $3,291.48 / $3,291.48
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$906.63 / $1,169.55 / $1,939.02