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Texas rates for HCPCS 57291

Construction of artificial vagina; without graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $3,890.45 / $12,882.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $588.84 / $954.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,818.38 / $6,606.93 / $11,748.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $630.96 / $851.14
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $478.63 / $478.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $3,162.28 / $3,162.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $724.44 / $1,174.90
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,589.25 / $42,657.95 / $42,657.95
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,677.35 / $4,677.35 / $5,248.07
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $1,000.00 / $5,754.40
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $660.69 / $891.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $446.68
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $1,047.13 / $1,412.54
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $707.95 / $1,202.26
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $724.44 / $1,148.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $4,073.80 / $8,912.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $616.60 / $977.24
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $512.86 / $512.86