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Maryland rates for HCPCS 57291

Construction Artificial Vagina W/O Graft

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$463.24 / $468.83 / $2,848.11
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$618.70 / $646.59 / $746.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,346.87 / $2,346.87 / $2,346.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$510.68 / $759.82 / $1,422.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$573.19 / $762.34 / $1,233.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$480.47 / $668.76 / $1,108.88
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.54 / $659.17 / $813.11