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Indiana rates for HCPCS 57291

Construction of artificial vagina; without graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$541.46 / $1,386.00 / $16,042.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.71 / $541.46 / $653.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,278.00 / $7,581.00 / $14,620.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.39 / $675.49 / $932.17
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$505.85 / $644.71 / $743.90
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.93 / $595.12 / $743.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,982.66 / $2,982.66 / $2,982.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$564.69 / $698.64 / $1,177.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,364.00 / $6,094.00 / $10,413.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$509.83 / $605.49 / $960.93