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Florida rates for HCPCS 57291

Construction of artificial vagina; without graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $4,897.79 / $11,220.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $549.54 / $1,023.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $2,238.72 / $2,630.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $741.31 / $1,288.25
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,165.95 / $12,022.64 / $22,908.68
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $380.19 / $575.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $707.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $5,754.40 / $9,772.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $660.69 / $1,148.15
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $426.58 / $501.19