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Georgia 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
$1,400.54 / $3,391.00 / $6,915.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,400.54 / $1,877.56 / $4,635.92
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$996.37 / $2,722.51 / $5,292.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,729.13 / $2,496.96 / $4,526.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$550.00 / $550.00 / $550.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,790.27 / $2,857.69 / $4,728.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,709.53 / $2,222.39 / $2,895.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.00 / $4,826.00 / $7,889.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,746.72 / $2,312.37 / $3,797.06