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Minnesota 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
$1,557.86 / $1,557.86 / $3,119.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,557.86 / $1,697.77 / $2,088.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,045.81 / $8,719.32 / $14,977.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,926.47 / $4,534.52 / $6,362.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,158.26 / $5,896.93 / $14,185.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,362.29 / $5,685.38 / $8,066.60
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,380.36 / $5,391.20 / $11,169.96
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,960.18 / $5,065.75 / $6,713.21
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,113.11 / $3,199.32 / $7,729.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,261.44 / $4,390.46 / $9,441.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,735.00 / $4,974.00 / $8,812.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,160.98 / $4,042.32 / $6,873.35