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Ohio 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
$1,688.11 / $3,053.00 / $10,635.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,688.11 / $1,688.11 / $3,391.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,152.00 / $2,792.00 / $8,800.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,270.18 / $1,778.25 / $3,092.35
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,641.66 / $1,969.99 / $2,438.29
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,313.24 / $1,805.83 / $1,805.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,358.24 / $2,267.61 / $3,425.35
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,641.66 / $2,298.33 / $3,425.35
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.06 / $1,381.45 / $2,276.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,233.00 / $4,383.00 / $6,522.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,569.72 / $2,189.23 / $3,616.76