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Alaska rates for HCPCS 57292

Construction of artificial vagina; with graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,448.48 / $9,774.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,947.78 / $3,947.78 / $5,138.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,805.98 / $2,805.98 / $2,805.98
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.88 / $3,947.78 / $5,645.33
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,014.38 / $5,231.10 / $6,748.82
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,113.75 / $3,611.95 / $5,055.60
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.88 / $3,947.78 / $5,645.33
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,097.73 / $3,589.50 / $5,153.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,138.53 / $3,367.17 / $5,029.55