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Nebraska 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
$2,187.76 / $4,073.80 / $12,589.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $1,698.24 / $9,332.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,000.00 / $13,182.57 / $25,703.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $2,454.71 / $3,467.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $3,981.07 / $5,128.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $3,548.13 / $7,943.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,137.96 / $3,467.37 / $12,882.50
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,801.89 / $3,981.07 / $5,370.32
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,801.89 / $3,801.89 / $3,801.89
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $2,511.89 / $4,365.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,630.78 / $4,897.79 / $8,128.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $3,162.28 / $4,265.80