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Oregon 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
$3,467.37 / $4,365.16 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $1,995.26 / $4,265.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.84 / $3,715.35 / $5,248.07
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,570.40 / $3,388.44 / $4,466.84
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $2,570.40 / $4,677.35
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.89 / $2,951.21 / $4,570.88
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $3,311.31 / $3,467.37
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $2,344.23 / $4,168.69
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $3,311.31 / $4,786.30
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,079.46 / $9,772.37 / $11,748.98
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,162.28 / $3,715.35 / $4,786.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $9,772.37 / $14,125.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,137.96 / $3,388.44 / $4,786.30