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West Virginia 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
$1,200.00 / $1,400.00 / $1,614.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,392.71 / $1,614.99 / $1,984.42
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,838.48 / $2,053.66 / $2,237.48
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,988.88 / $1,988.88 / $1,988.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,976.84 / $1,976.84 / $1,976.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,687.16 / $2,320.37 / $9,478.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,272.04 / $1,908.91 / $2,752.05