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Maine rates for HCPCS 57291

Construction of artificial vagina; without graft

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $645.65 / $1,230.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $758.58 / $1,047.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $724.44 / $1,230.27
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $741.31 / $1,096.48
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $645.65 / $1,548.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $831.76 / $1,202.26