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Massachusetts rates for HCPCS 57291

Construction Artificial Vagina W/O Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,528.00 / $2,894.76 / $6,107.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$536.16 / $646.72 / $1,379.62
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,233.88 / $4,076.16 / $12,623.50
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.07 / $1,066.60 / $5,199.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$763.85 / $1,051.69 / $1,715.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$640.85 / $1,123.73 / $2,072.08
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$544.54 / $1,169.44 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.61 / $624.87 / $1,007.42
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$679.53 / $1,355.25 / $1,987.69
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,902.00 / $4,525.00 / $26,542.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$624.84 / $1,169.44 / $5,199.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,902.00 / $3,764.00 / $8,766.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$624.84 / $859.97 / $2,371.94