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Virginia 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
$1,638.80 / $4,390.00 / $8,920.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,060.00 / $3,693.00 / $4,290.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,381.84 / $1,658.21 / $2,045.12
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,372.29 / $1,921.72 / $2,677.21
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,417.56 / $1,881.33 / $4,283.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,349.00 / $7,061.00 / $12,739.00