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Arizona rates for HCPCS 57320

Closure Vesicovaginal Fistula Vaginal Approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,965.00 / $3,819.00 / $7,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$494.86 / $550.69 / $2,895.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$672.35 / $2,515.38 / $4,140.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$483.91 / $645.22 / $806.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,100.10 / $4,100.10 / $4,100.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.00 / $653.78 / $1,177.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.89 / $737.34 / $6,117.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.88 / $618.15 / $5,263.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $4,545.00 / $7,217.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$476.81 / $586.45 / $1,101.72