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Pennsylvania rates for HCPCS 57292

Construction of artificial vagina; with graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $5,370.32 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $831.76 / $1,737.80
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $501.19 / $501.19
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,456.54 / $6,606.93 / $57,543.99
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $1,288.25 / $1,288.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,023.29 / $1,659.59
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,122.02 / $1,258.93
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,023.29 / $1,584.89
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $4,570.88 / $8,511.38
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $977.24 / $2,454.71
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $1,047.13 / $1,698.24
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,288.25 / $1,737.80
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $870.96 / $870.96
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $831.76 / $870.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $3,981.07 / $15,488.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $977.24 / $1,659.59