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Utah rates for HCPCS 57426

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,094.57 / $4,387.00 / $9,078.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,230.43 / $14,327.60 / $20,879.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $6,097.00 / $8,267.00