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Arkansas rates for HCPCS 57320

Closure of vesicovaginal fistula; vaginal approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$661.51 / $1,397.00 / $4,478.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$463.63 / $620.83 / $758.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,714.07 / $4,714.07 / $5,656.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$551.73 / $730.23 / $730.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,558.75 / $3,558.75 / $3,558.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$640.07 / $916.52 / $1,055.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,240.00 / $2,311.00 / $5,652.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$497.66 / $600.62 / $1,072.49