go back

Vermont 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
Professional
Modifier
Low / Median / High Price
$2,048.82 / $2,048.82 / $8,930.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,788.86 / $2,878.18 / $6,151.17
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,140.25 / $2,910.49 / $6,151.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,002.10 / $2,405.40 / $7,549.88