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Creating a Vagina Without a Graft

New Hampshire 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 $2,399 · 10th–90th $1,622$15,8490%10%20%10th90th$2,399Professionalmedian $759 · 10th–90th $490$1,3800%10%10th90th$759$100.0$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
$1,995.26
Median
$2,398.83
Typical High
$15,848.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$549.54
Typical High
$1,047.13
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$1,737.80
Typical High
$3,890.45
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$977.24
Typical High
$1,380.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$933.25
Typical High
$1,380.38
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$9,549.93
Median
$9,549.93
Typical High
$9,549.93
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$912.01
Typical High
$1,548.82
United
Setting
Facility
Modifier
Global
Typical Low
$9,549.93
Median
$9,549.93
Typical High
$9,549.93
United
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$1,000.00
Typical High
$1,995.26