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Kentucky rates for HCPCS 57291

Construction of artificial vagina; without graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.71 / $896.00 / $10,152.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$476.60 / $526.05 / $571.75
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,320.00 / $4,261.00 / $11,433.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$462.74 / $560.73 / $828.08
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$519.50 / $709.38 / $818.33
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.30 / $709.38 / $1,013.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$591.41 / $627.49 / $627.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$539.75 / $716.09 / $1,255.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$599.00 / $2,723.00 / $6,295.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$497.06 / $757.26 / $1,068.67