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New Hampshire rates for HCPCS 57320

Closure Vesicovaginal Fistula Vaginal Approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $2,072.52 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$539.19 / $590.75 / $2,072.52
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,769.10 / $5,299.00 / $8,600.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$612.19 / $946.77 / $1,392.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$718.50 / $1,188.86 / $1,710.59
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$629.88 / $1,249.56 / $2,074.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,949.00 / $9,949.00 / $9,949.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$698.71 / $966.86 / $2,151.00
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.36 / $518.83 / $818.89