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Maine rates for HCPCS 57320

Closure Vesicovaginal Fistula Vaginal Approach

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.25 / $558.25 / $590.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$612.19 / $735.36 / $1,086.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$619.79 / $808.47 / $1,230.47
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$629.88 / $811.23 / $1,244.47
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.25 / $558.25 / $590.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$550.39 / $775.46 / $1,130.71