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New Mexico 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
$1,047.00 / $2,145.78 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,597.00 / $1,602.62 / $2,857.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,535.10 / $2,400.23 / $3,126.51
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $504.16 / $2,707.69
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,614.23 / $2,054.46 / $2,363.58
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,840.18 / $2,400.23 / $3,126.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,834.00 / $6,599.00 / $7,158.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,986.69 / $2,680.65 / $3,896.27