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Idaho rates for HCPCS 57291

Construction of artificial vagina; without graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,415.00 / $4,500.00 / $8,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$641.72 / $649.52 / $958.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$765.69 / $930.75 / $1,046.45
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$639.79 / $958.61 / $1,102.08
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$885.44 / $939.10 / $1,073.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $762.38 / $959.13
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,658.49 / $12,222.47 / $15,458.09
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $851.14 / $1,033.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,550.00 / $12,152.00 / $12,233.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$506.34 / $846.71 / $1,244.40