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New Jersey rates for HCPCS 57320

Closure Vesicovaginal Fistula Vaginal Approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.64 / $6,012.00 / $10,871.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$492.84 / $550.64 / $951.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.20 / $828.00 / $1,516.49
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$655.29 / $880.40 / $1,048.33
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,860.02 / $12,001.50 / $22,888.08
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.95 / $590.50 / $1,199.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,378.00 / $8,305.00 / $14,121.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$511.56 / $721.22 / $1,253.54