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Kansas rates for HCPCS 57291

Construction of artificial vagina; without graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,000.00 / $6,560.00 / $13,151.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$535.86 / $535.86 / $799.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$730.70 / $859.65 / $859.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$490.63 / $832.47 / $1,255.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$535.86 / $941.10 / $9,189.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$565.88 / $718.67 / $5,060.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,436.00 / $3,096.00 / $6,026.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$556.58 / $671.33 / $1,049.42