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North Carolina rates for HCPCS 57291

Construction of artificial vagina; without graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$543.53 / $1,615.00 / $12,615.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$543.53 / $543.53 / $894.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$599.35 / $959.55 / $1,386.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$595.12 / $865.90 / $1,401.16
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$543.53 / $691.51 / $1,366.15
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$687.62 / $687.62 / $1,363.76
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $809.40 / $1,405.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,526.00 / $7,659.00 / $10,502.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$529.54 / $735.64 / $1,520.32
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,076.16 / $12,623.50 / $26,542.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,654.64 / $5,199.17 / $5,199.17