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Maryland 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
Professional
Modifier
Low / Median / High Price
$1,443.59 / $1,465.78 / $8,930.48
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,860.95 / $1,860.95 / $2,150.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,501.13 / $2,210.89 / $4,441.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,805.89 / $2,401.83 / $3,840.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,411.89 / $1,957.53 / $3,457.28
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,520.53 / $2,076.77 / $2,562.77