go back

Montana rates for HCPCS 57320

Closure of vesicovaginal fistula; vaginal approach

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$590.78 / $2,895.22 / $2,895.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$898.59 / $898.59 / $898.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$596.62 / $898.59 / $898.59
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$439.34 / $968.50 / $1,006.31
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$545.74 / $818.70 / $1,180.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$759.91 / $951.00 / $1,574.35