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Arkansas rates for HCPCS 57291

Construction of artificial vagina; without graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $1,819.70 / $2,511.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $602.56 / $776.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,677.35 / $4,677.35 / $6,456.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $537.03 / $707.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,548.13 / $3,548.13 / $3,548.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $870.96 / $1,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $2,137.96 / $7,079.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $575.44 / $1,047.13