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Illinois rates for HCPCS 57320

Closure Vesicovaginal Fistula Vaginal Approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$711.00 / $1,933.00 / $5,405.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$491.10 / $564.54 / $1,052.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,453.40 / $7,331.55 / $13,231.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$688.40 / $925.79 / $1,091.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$709.00 / $709.00 / $735.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$541.41 / $817.54 / $1,173.50
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$604.30 / $933.93 / $3,196.57
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$661.88 / $714.18 / $787.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $908.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,152.00 / $5,000.00 / $8,995.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$564.16 / $745.23 / $1,201.24