go back

Louisiana rates for HCPCS 57292

Construction Artificial Vagina W/Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$756.00 / $2,418.00 / $4,392.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$701.35 / $1,028.50 / $1,249.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.49 / $8,230.83 / $12,494.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,072.29 / $1,115.98 / $1,453.40
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$815.82 / $997.49 / $1,595.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$882.00 / $3,238.00 / $8,257.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$765.00 / $1,043.53 / $1,748.84