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Tennessee 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
$1,228.33 / $2,652.00 / $7,602.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,221.00 / $3,880.00 / $5,737.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $13,265.68 / $13,669.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,695.00 / $3,616.00 / $6,285.00