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Nebraska rates for HCPCS 57320

Closure of vesicovaginal fistula; vaginal approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,382.00 / $8,477.27 / $19,276.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.46 / $520.46 / $2,895.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,990.74 / $13,540.02 / $25,418.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.17 / $854.25 / $1,139.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,044.38 / $1,297.86 / $1,639.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.70 / $988.87 / $8,632.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$689.92 / $1,253.52 / $5,263.72
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,044.38 / $1,395.23 / $4,164.35
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$818.52 / $1,237.97 / $1,639.51
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $911.20 / $1,444.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,341.00 / $7,441.00 / $8,816.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$689.92 / $1,180.76 / $1,344.35