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Oregon rates for HCPCS 57291

Construction of artificial vagina; without graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $1,412.54 / $15,848.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $645.65 / $1,380.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $1,174.90 / $1,698.24
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,023.29 / $1,348.96
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $870.96 / $1,905.46
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $954.99 / $1,445.44
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $1,047.13 / $1,122.02
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $776.25 / $1,412.54
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $1,047.13 / $1,479.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,120.11 / $15,488.17 / $19,054.61
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,202.26 / $1,513.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $10,232.93 / $21,877.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $1,047.13 / $1,513.56