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Hawaii rates for HCPCS 57320

Closure of vesicovaginal fistula; vaginal approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $4,466.84 / $4,466.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $549.54 / $660.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $645.65 / $707.95
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,000.00 / $12,589.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $602.56 / $758.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $2,137.96 / $2,137.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $676.08 / $891.25
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $512.86 / $851.14