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New Jersey rates for HCPCS 57291

Construction of artificial vagina; without graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $8,511.38 / $12,302.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $588.84 / $1,659.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $812.83 / $1,584.89
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $707.95 / $912.01
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,232.93 / $15,848.93 / $25,118.86
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $660.69 / $1,548.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,951.21 / $6,606.93 / $10,964.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $660.69 / $1,148.15