go back

Wisconsin rates for HCPCS 57426

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

Facilitymedian $15,136 · 10th–90th $4,467–$26,9150%10%10th90th$15,136Professionalmedian $1,950 · 10th–90th $1,000–$2,6920%20%10th90th$1,950$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$933.25 / $1,778.28 / $14,454.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,585.78 / $16,982.44 / $29,512.09
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,238.72 / $2,630.27 / $4,168.69
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$933.25 / $7,413.10 / $14,791.08
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$954.99 / $7,585.78 / $13,803.84
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,698.24 / $8,511.38 / $9,120.11
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,000.00 / $1,949.84 / $2,691.53
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,022.64 / $12,022.64 / $17,782.79
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,137.96 / $2,137.96 / $2,137.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,606.93 / $10,232.93 / $13,182.57