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Pennsylvania rates for HCPCS 57291

Construction of artificial vagina; without graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $6,025.60 / $9,549.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $575.44 / $1,445.44
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,456.54 / $7,585.78 / $57,543.99
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $851.14 / $851.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $676.08 / $1,122.02
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $758.58 / $831.76
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $676.08 / $1,047.13
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $5,248.07 / $9,549.93
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $660.69 / $1,737.80
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $707.95 / $1,122.02
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $933.25 / $1,348.96
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $758.58 / $912.01
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $575.44 / $758.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $3,548.13 / $15,488.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $630.96 / $1,096.48