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Florida 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
$988.00 / $3,714.00 / $11,576.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,364.23 / $1,602.67 / $2,130.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.00 / $400.00 / $10,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,442.33 / $2,218.40 / $3,452.76
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,169.00 / $8,416.00 / $15,897.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,208.42 / $1,294.73 / $2,277.34
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.74 / $1,360.23 / $2,178.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,681.00 / $5,811.00 / $10,057.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,388.30 / $1,993.51 / $3,581.66
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,305.19 / $1,305.19 / $1,305.19