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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
$2,344.23 / $10,000.00 / $16,982.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $933.25 / $3,981.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,818.38 / $2,818.38 / $2,818.38
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $1,122.02 / $5,495.41
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $2,344.23 / $5,754.40
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,388.44 / $3,388.44 / $4,677.35
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $3,981.07 / $5,623.41
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $776.25 / $2,818.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,137.96 / $2,238.72 / $5,623.41