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Indiana rates for HCPCS 57292

Construction of artificial vagina; with graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $4,897.79 / $14,125.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $831.76 / $1,380.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,317.64 / $19,952.62 / $27,542.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,047.13 / $1,659.59
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $831.76 / $933.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $1,318.26 / $1,778.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,023.29 / $2,137.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $7,762.47 / $10,964.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $933.25 / $1,513.56