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Louisiana rates for HCPCS 57291

Construction of artificial vagina; without graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$654.73 / $2,418.00 / $5,150.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$454.30 / $669.41 / $813.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,689.39 / $6,624.73 / $9,653.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$711.63 / $739.34 / $965.49
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$572.78 / $656.89 / $1,040.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$746.00 / $2,415.00 / $6,585.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$509.29 / $771.25 / $1,308.13