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Tennessee rates for HCPCS 57292

Construction of artificial vagina; with graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,100.00 / $2,683.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$704.81 / $947.57 / $1,096.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,803.00 / $5,220.00 / $7,950.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.43 / $1,048.73 / $1,675.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$783.90 / $1,133.57 / $1,829.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $10,899.50 / $10,899.50
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,983.09 / $7,983.09 / $7,983.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,259.00 / $4,567.00 / $7,669.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$782.04 / $1,143.45 / $1,684.30