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Ohio rates for HCPCS 57320

Closure of vesicovaginal fistula; vaginal approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$950.00 / $5,907.00 / $10,635.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$550.69 / $550.69 / $1,765.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,003.00 / $4,918.00 / $19,117.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.92 / $625.23 / $1,049.09
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$532.61 / $639.13 / $791.06
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$585.87 / $585.87 / $625.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$472.81 / $745.65 / $1,118.48
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$532.61 / $756.08 / $1,102.10
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.93 / $529.33 / $774.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,840.00 / $5,998.00 / $7,847.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$492.88 / $719.02 / $1,144.21