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Texas 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
$803.00 / $2,598.00 / $7,542.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,248.29 / $3,922.02 / $7,494.30
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,293.33 / $1,293.33 / $1,293.33
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $13,265.68
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,381.70 / $1,825.98 / $3,203.57
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,381.70 / $1,839.77 / $3,279.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,154.00 / $3,314.00 / $7,600.00