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Creating a Vagina Without a Graft

Wisconsin rates for HCPCS 57291

Surgery that creates a vaginal canal using the surrounding tissues, without taking a graft from elsewhere on the body. A space is opened between the bladder and rectum and lined with local tissue so the canal stays open as it heals.

Facilitymedian $5,012 · 10th–90th $2,884$8,9130%10%10th90th$5,012Professionalmedian $692 · 10th–90th $513$2,1380%10%20%10th90th$692$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$1,122.02
Typical High
$14,454.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$588.84
Typical High
$1,380.38
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$4,786.30
Typical High
$8,709.64
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$1,047.13
Typical High
$2,454.71
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$1,659.59
Typical High
$2,630.27
Cigna
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$1,584.89
Typical High
$1,862.09
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$7,244.36
Typical High
$13,489.63
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,348.96
Typical High
$1,659.59
Medica
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$5,623.41
Typical High
$8,709.64
Medica
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$954.99
Typical High
$2,754.23
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$812.83
Network Health
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$5,754.40
Typical High
$7,762.47
Network Health
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,380.38
Typical High
$1,905.46
Quartz
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$1,230.27
Typical High
$1,698.24
Quartz
Setting
Facility
Modifier
Global
Typical Low
$8,511.38
Median
$12,589.25
Typical High
$12,589.25
Quartz
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$3,715.35
Typical High
$5,248.07
Security Health
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,348.96
Typical High
$1,348.96
Security Health
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$2,951.21
Typical High
$2,951.21
United
Setting
Facility
Modifier
Global
Typical Low
$4,897.79
Median
$7,585.78
Typical High
$9,772.37
United
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$912.01
Typical High
$2,290.87