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Tennessee 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
$575.44 / $1,949.84 / $4,073.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $1,949.84 / $3,019.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $4,570.88 / $6,606.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $2,511.89 / $3,890.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $794.33 / $794.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $2,187.76 / $3,548.13
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $15,848.93 / $15,848.93
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,589.25 / $14,791.08 / $14,791.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $3,630.78 / $6,309.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $2,238.72 / $3,548.13