go back

Alabama rates for HCPCS 57109

Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.00 / $1,238.00 / $2,301.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,458.33 / $2,301.75 / $2,301.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,628.98 / $9,258.12 / $12,455.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,390.65 / $1,905.00 / $2,247.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,465.98 / $1,888.94 / $5,215.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$834.00 / $2,891.00 / $4,402.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,335.50 / $1,727.24 / $2,706.65