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Arkansas 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
$803.00 / $1,688.00 / $3,054.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,611.13 / $2,012.06 / $2,219.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,875.60 / $2,875.60 / $3,450.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,740.93 / $2,304.17 / $2,304.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,558.75 / $3,558.75 / $3,558.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,928.31 / $2,753.28 / $3,071.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$980.00 / $1,650.00 / $4,233.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,506.36 / $1,943.64 / $3,268.05