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Delaware rates for HCPCS 57291

Construction of artificial vagina; without graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,316.00 / $6,907.00 / $7,060.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$502.49 / $502.49 / $536.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$504.40 / $689.92 / $913.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$494.30 / $639.67 / $1,239.81