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New York rates for HCPCS 57107

Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,772.64 / $3,938.00 / $9,038.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,393.00 / $4,120.00 / $8,836.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,047.68 / $2,047.68 / $12,319.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,666.46 / $1,666.46 / $7,227.90
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.00 / $1,685.00 / $3,803.69
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $1,666.46 / $7,227.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,031.00 / $4,840.00 / $9,202.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,671.75 / $1,671.75 / $4,645.97