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Georgia rates for HCPCS 57291

Construction Artificial Vagina W/O Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$879.83 / $5,063.00 / $7,391.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$448.15 / $598.47 / $1,356.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,162.53 / $2,827.85 / $5,240.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$550.38 / $799.11 / $1,446.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,811.32 / $2,811.32 / $2,811.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$573.66 / $922.54 / $1,505.10
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$542.04 / $704.65 / $1,447.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.00 / $4,826.00 / $7,889.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.95 / $805.65 / $1,423.67