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West Virginia rates for HCPCS 57291

Construction of artificial vagina; without graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$513.79 / $513.79 / $2,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$444.95 / $513.79 / $591.60
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$581.44 / $648.52 / $706.56
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$628.05 / $628.05 / $628.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.49 / $627.49 / $627.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$535.30 / $739.86 / $3,229.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$429.61 / $630.66 / $894.46