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Ohio rates for HCPCS 57291

Construction of artificial vagina; without graft

Facilitymedian $5,888 · 10th–90th $1,000$11,7490%10%10th90th$5,888Professionalmedian $603 · 10th–90th $490$3,9810%20%40%10th90th$603$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,000.00 / $7,585.78 / $12,022.64
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501.19 / $602.56 / $8,912.51
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,348.96 / $3,090.30 / $7,943.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $588.84 / $1,047.13
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$524.81 / $549.54 / $616.60
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$467.74 / $630.96 / $21,379.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $724.44 / $1,096.48
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21,379.62 / $21,379.62 / $21,379.62
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $724.44 / $1,122.02
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
SummaCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $6,165.95
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501.19 / $588.84 / $1,096.48
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,818.38 / $4,265.80 / $8,709.64
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $630.96 / $1,023.29