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Idaho rates for HCPCS 57320

Closure Vesicovaginal Fistula Vaginal Approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,897.00 / $4,500.00 / $7,761.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$590.78 / $661.03 / $985.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$782.16 / $956.74 / $1,068.96
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$655.29 / $943.19 / $1,125.43
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$907.85 / $947.85 / $1,100.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $782.39 / $984.30
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,966.37 / $12,222.47 / $15,458.09
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$874.15 / $874.15 / $1,062.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,360.00 / $16,762.00 / $17,870.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$568.07 / $762.99 / $1,125.34