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Nebraska rates for HCPCS 57291

Construction of artificial vagina; without graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,463.36 / $10,506.16 / $21,899.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$506.34 / $506.34 / $2,848.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,990.74 / $13,540.02 / $25,418.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.95 / $831.75 / $1,109.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,016.86 / $1,263.67 / $1,595.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$541.82 / $962.05 / $7,934.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.10 / $1,256.43 / $5,060.51
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,016.86 / $1,358.45 / $4,164.35
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$836.00 / $1,220.18 / $1,595.90
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
$4,217.00 / $6,451.00 / $7,934.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$717.08 / $1,193.63 / $1,498.90