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California rates for HCPCS 57320

Closure Vesicovaginal Fistula Vaginal Approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,197.85 / $6,695.00 / $17,902.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$494.86 / $574.55 / $2,895.22
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,629.00 / $7,166.00 / $15,328.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$674.28 / $883.76 / $1,699.18
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $11,343.07
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$368.42 / $570.92 / $1,393.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,811.56 / $3,322.76 / $7,828.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$523.47 / $695.05 / $2,058.92
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$639.37 / $734.72 / $1,102.08
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$569.13 / $735.28 / $1,296.53
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $12,623.50
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,263.72 / $5,263.72 / $5,263.72
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$579.04 / $735.14 / $1,148.14
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$523.47 / $730.78 / $1,543.31
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,796.42 / $1,796.42 / $1,796.42
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$574.89 / $709.58 / $1,249.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,728.00 / $9,759.00 / $22,073.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.61 / $662.26 / $1,935.83