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New York rates for HCPCS 57320

Closure of vesicovaginal fistula; vaginal approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $4,677.35 / $10,232.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $645.65 / $1,862.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $7,762.47 / $13,803.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $549.54 / $1,380.38
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $794.33 / $8,912.51
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $794.33 / $794.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $954.99 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $933.25 / $2,454.71
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $870.96 / $1,949.84
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $707.95 / $1,023.29
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $741.31 / $1,202.26
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $724.44 / $1,202.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $5,128.61 / $12,302.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $741.31 / $1,412.54
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $645.65 / $1,698.24
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $691.83 / $1,621.81