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Virginia rates for HCPCS 57291

Construction of artificial vagina; without graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$591.60 / $5,412.00 / $10,767.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$455.89 / $591.60 / $724.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,060.00 / $3,693.00 / $4,290.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$511.38 / $653.95 / $896.89
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$618.70 / $931.09 / $5,895.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$535.30 / $729.76 / $1,348.07
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$522.26 / $626.71 / $772.94
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$513.79 / $727.38 / $1,017.68
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$653.00 / $743.00 / $1,293.61
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$556.76 / $746.37 / $3,512.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$556.76 / $746.37 / $3,512.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,349.00 / $7,061.00 / $12,739.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.47 / $783.08 / $1,190.57