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New Hampshire rates for HCPCS 57291

Construction Artificial Vagina W/O Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $1,986.27 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$536.66 / $646.72 / $1,986.27
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,449.90 / $1,611.00 / $3,700.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$594.85 / $921.83 / $1,357.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$700.63 / $1,220.33 / $1,665.57
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$614.33 / $1,218.71 / $2,023.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,565.00 / $9,565.00 / $9,565.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$736.13 / $784.71 / $2,185.71
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$427.21 / $469.93 / $598.09