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New Jersey rates for HCPCS 57295

Revj/Rmvl Prosthetic Vaginal Graft Vaginal App

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$488.89 / $5,982.00 / $10,692.00
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,238.19 / $7,730.08 / $16,762.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,415.00 / $7,250.00 / $10,536.00