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Ohio rates for HCPCS 57292

Construction of artificial vagina; with graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,165.00 / $5,703.00 / $11,627.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$808.30 / $808.30 / $2,639.42
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,003.00 / $4,918.00 / $19,117.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.37 / $915.10 / $1,606.50
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$783.61 / $940.33 / $1,163.85
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$804.87 / $861.97 / $861.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$717.26 / $1,097.05 / $1,651.27
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$783.61 / $1,156.70 / $1,651.27
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.97 / $744.18 / $1,112.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,840.00 / $5,998.00 / $7,847.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$772.30 / $1,036.33 / $1,735.76