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Washington, DC 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
$1,117.00 / $2,761.00 / $4,100.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,443.59 / $1,443.59 / $1,443.59
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,860.95 / $2,028.44 / $17,156.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,605.50 / $2,298.33 / $4,460.34
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,794.39 / $3,947.00 / $3,947.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,832.00 / $2,343.00 / $26,408.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,530.19 / $2,508.64 / $4,581.05