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New Jersey rates for HCPCS 57109

Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,715.00 / $4,667.00 / $10,202.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,453.12 / $1,597.00 / $2,920.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,535.10 / $2,567.07 / $5,036.20
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,015.29 / $2,699.86 / $3,221.70
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,444.95 / $7,730.08 / $16,762.59
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,395.56 / $1,789.61 / $3,352.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,415.00 / $7,250.00 / $10,536.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,570.69 / $2,214.42 / $3,879.39