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Louisiana 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
$497.00 / $1,320.00 / $3,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.14 / $2,116.80 / $2,571.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,463.38 / $5,028.43 / $7,823.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,239.87 / $2,329.44 / $2,998.38
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,660.78 / $2,067.58 / $3,306.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$746.00 / $2,415.00 / $6,585.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,595.78 / $2,127.71 / $3,599.36