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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
$650.76 / $6,986.00 / $11,798.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$494.31 / $575.12 / $937.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$516.92 / $859.66 / $1,511.59
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$639.79 / $858.59 / $1,022.77
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,001.50 / $21,300.52 / $26,025.12
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$445.45 / $571.23 / $1,134.81
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
$509.94 / $703.44 / $1,238.26