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Idaho 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
$1,407.00 / $4,500.00 / $7,045.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,000.44 / $2,019.71 / $2,999.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398.73 / $2,936.36 / $3,278.26
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,732.50 / $2,927.48 / $3,262.83
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,791.34 / $2,791.34 / $3,383.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $2,405.48 / $3,026.24
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,781.66 / $7,272.33 / $9,472.49
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,672.59 / $2,672.59 / $3,233.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,550.00 / $12,152.00 / $12,233.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,723.67 / $2,220.30 / $3,627.93