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New Mexico rates for HCPCS 57320

Closure of vesicovaginal fistula; vaginal approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $7,838.38 / $8,763.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$528.21 / $558.40 / $926.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,146.83 / $12,347.31 / $20,685.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$687.95 / $687.95 / $687.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$505.02 / $813.48 / $1,023.31
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $164.37 / $877.87
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$518.87 / $660.38 / $797.65
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$615.91 / $803.38 / $1,023.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,602.00 / $9,127.00 / $10,150.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$693.24 / $840.75 / $1,226.08