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Tennessee rates for HCPCS 57291

Construction Artificial Vagina W/O Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,098.91 / $3,329.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$465.64 / $626.03 / $724.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,625.00 / $4,657.00 / $7,950.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$517.38 / $682.64 / $1,107.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$560.64 / $748.90 / $1,214.67
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,076.16 / $12,623.50 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,654.64 / $5,060.51 / $5,199.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,695.00 / $3,616.00 / $6,285.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.95 / $760.68 / $1,121.19