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Minnesota rates for HCPCS 57426

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$791.07 / $791.07 / $6,781.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,687.24 / $12,267.24 / $26,854.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,105.66 / $2,986.09 / $7,183.44
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,711.75 / $2,730.00 / $5,656.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,263.51 / $1,736.23 / $9,404.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,293.00 / $6,652.00 / $9,810.00