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Rhode Island 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
$1,518.41 / $1,543.03 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,718.60 / $1,738.39 / $2,235.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,822.88 / $2,144.56 / $3,324.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.00 / $2,337.64 / $3,588.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,654.00 / $3,447.00 / $7,350.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,554.28 / $2,444.30 / $3,545.76