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Minnesota rates for HCPCS 57320

Closure of vesicovaginal fistula; vaginal approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $512.86 / $5,011.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $602.56 / $954.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $9,772.37 / $22,387.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,288.25 / $2,041.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $2,041.74 / $4,897.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,737.80 / $2,570.40
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $1,949.84 / $3,801.89
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,445.44 / $2,187.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $1,122.02 / $9,332.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $1,122.02 / $3,090.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $6,456.54 / $12,589.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $1,122.02 / $2,187.76