go back

Missouri rates for HCPCS 57320

Closure of vesicovaginal fistula; vaginal approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,400.00 / $4,261.00 / $8,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$435.57 / $540.45 / $606.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,247.00 / $9,663.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$536.33 / $677.15 / $1,078.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$500.76 / $815.59 / $1,400.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$494.86 / $995.73 / $4,553.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$564.16 / $858.00 / $5,263.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,748.00 / $3,502.00 / $6,854.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$550.21 / $749.97 / $1,201.96