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North Dakota rates for HCPCS 57291

Construction of artificial vagina; without graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$540.98 / $540.98 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$500.42 / $540.98 / $540.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,067.34 / $1,172.45 / $1,405.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$675.97 / $1,284.94 / $1,659.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$540.98 / $770.73 / $1,622.94
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$574.66 / $992.43 / $1,400.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$565.88 / $1,044.85 / $1,400.48