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Arkansas rates for HCPCS 57291

Construction Artificial Vagina W/O Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.59 / $1,688.00 / $3,109.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$455.89 / $606.59 / $757.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,714.07 / $4,714.07 / $5,656.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.16 / $710.96 / $710.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,558.75 / $3,558.75 / $3,558.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$622.19 / $891.41 / $1,014.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$980.00 / $1,650.00 / $4,064.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$488.03 / $693.52 / $1,042.72