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Creating a Vagina Without a Graft

Michigan rates for HCPCS 57291

Surgery that creates a vaginal canal using the surrounding tissues, without taking a graft from elsewhere on the body. A space is opened between the bladder and rectum and lined with local tissue so the canal stays open as it heals.

Facilitymedian $4,898 · 10th–90th $2,512$6,9180%20%10th90th$4,898Professionalmedian $603 · 10th–90th $468$8710%10%20%10th90th$603$200.0$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$4,897.79
Median
$4,897.79
Typical High
$5,754.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$588.84
Typical High
$831.76
BCBS
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$165.96
BCBS
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$776.25
Typical High
$891.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$645.65
Typical High
$1,659.59
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$4,897.79
Typical High
$6,918.31
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$676.08
Typical High
$1,000.00
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$588.84
Typical High
$851.14
United
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$5,128.61
Typical High
$13,182.57
United
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$707.95
Typical High
$891.25