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Oklahoma 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
$918.00 / $3,576.00 / $7,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,765.61 / $1,765.61 / $1,782.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,703.23 / $2,139.07 / $2,622.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,401.69 / $2,333.40 / $5,847.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,545.84 / $2,154.27 / $12,860.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$884.00 / $2,900.00 / $5,543.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,476.30 / $1,935.57 / $2,724.41