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Montana 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
$1,800.64 / $8,930.48 / $8,930.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,747.31 / $2,747.31 / $2,747.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,747.31 / $2,747.31 / $2,747.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,781.57 / $2,747.31 / $2,928.04
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,350.67 / $2,832.70 / $2,976.55
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,660.20 / $2,490.56 / $3,592.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,318.96 / $2,861.72 / $4,782.25