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Alaska rates for HCPCS 57291

Construction of artificial vagina; without graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,236.00 / $9,813.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,597.53 / $2,597.53 / $3,308.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,824.18 / $1,824.18 / $1,824.18
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$674.10 / $2,597.53 / $3,714.47
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,341.58 / $3,483.90 / $4,446.00
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,073.75 / $2,405.55 / $3,280.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$674.10 / $2,597.53 / $3,714.47
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$716.78 / $2,352.00 / $3,365.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,407.92 / $2,189.01 / $3,238.22