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New Jersey rates for HCPCS 57426

Revision (including removal) of prosthetic vaginal graft, laparoscopic approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$884.90 / $6,438.00 / $11,798.00
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,508.48 / $14,508.48 / $34,286.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,378.00 / $8,305.00 / $14,121.00