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Maine 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
$1,726.57 / $1,727.29 / $1,727.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,006.08 / $2,300.05 / $3,322.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,912.59 / $2,474.83 / $3,736.51
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,936.67 / $2,494.27 / $3,826.35
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,726.57 / $1,727.29 / $1,727.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,704.10 / $2,402.29 / $3,451.52