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Massachusetts 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
$1,380.38 / $2,238.72 / $3,801.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $1,737.80 / $5,495.41
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $4,265.80 / $11,220.18
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $2,454.71 / $12,589.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $2,818.38 / $6,025.60
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $2,630.27 / $8,511.38
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,778.28 / $2,754.23
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $4,265.80 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $3,162.28 / $5,128.61
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $4,265.80 / $11,220.18
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $2,454.71 / $12,589.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $4,265.80 / $9,772.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $2,691.53 / $5,370.32