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Indiana 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
$1,386.00 / $1,924.55 / $5,634.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,502.61 / $1,693.33 / $2,015.87
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,153.00 / $5,790.87 / $8,240.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,599.60 / $2,028.44 / $2,799.24
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,595.57 / $2,033.56 / $2,346.42
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,564.28 / $1,842.48 / $2,346.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,593.74 / $2,019.86 / $3,529.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,364.00 / $6,094.00 / $10,413.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,518.32 / $1,958.73 / $3,396.99