go back

Nebraska rates for HCPCS 57292

Construction of artificial vagina; with graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,005.00 / $10,563.53 / $20,928.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$760.75 / $760.75 / $4,326.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,990.74 / $13,540.02 / $25,418.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$731.97 / $1,247.68 / $1,663.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,525.37 / $1,895.60 / $2,446.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$810.96 / $1,445.43 / $8,632.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,030.75 / $1,870.17 / $7,983.09
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,422.00 / $1,870.17 / $2,575.80
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,245.16 / $1,812.94 / $2,446.06
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $1,191.09 / $2,099.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,341.00 / $7,441.00 / $8,816.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,093.22 / $1,819.74 / $2,229.46