go back

New Hampshire rates for HCPCS 57292

Construction Artificial Vagina W/Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $3,029.74 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$822.72 / $890.81 / $3,029.74
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,769.10 / $5,299.00 / $8,600.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$911.00 / $1,383.30 / $2,038.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,049.68 / $1,739.33 / $2,493.73
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$922.42 / $1,829.90 / $3,038.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,949.00 / $9,949.00 / $9,949.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,006.05 / $1,354.79 / $3,281.88
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$649.26 / $714.19 / $908.96