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Missouri rates for HCPCS 57292

Construction of artificial vagina; with graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,547.00 / $5,389.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$637.85 / $808.39 / $1,258.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,247.00 / $9,663.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$822.75 / $1,032.11 / $1,564.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$702.98 / $1,214.79 / $2,086.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$569.28 / $1,243.81 / $5,740.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$863.62 / $1,296.52 / $7,983.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,748.00 / $3,502.00 / $6,854.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$848.27 / $1,163.00 / $1,823.56