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Massachusetts rates for HCPCS 57291

Construction of artificial vagina; without graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $3,715.35 / $6,456.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $549.54 / $1,621.81
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $4,570.88 / $12,589.25
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $794.33 / $5,248.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,737.80 / $1,737.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $977.24 / $1,778.28
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $1,047.13 / $7,079.46
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $562.34 / $831.76
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $4,265.80 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $954.99 / $1,548.82
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $4,897.79 / $12,589.25
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $794.33 / $5,248.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $4,265.80 / $11,220.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $851.14 / $2,089.30