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Pennsylvania rates for HCPCS 57320

Closure Vesicovaginal Fistula Vaginal Approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$768.00 / $3,748.00 / $8,017.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.16 / $536.17 / $879.66
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,431.95 / $7,827.00 / $19,139.18
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.78 / $584.01 / $584.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$530.91 / $716.74 / $1,089.92
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$667.63 / $887.26 / $887.26
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,457.54 / $9,457.54 / $13,406.73
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.00 / $3,964.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$485.00 / $610.73 / $2,000.79
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $695.20 / $1,444.30
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.86 / $718.48 / $1,143.22
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$556.91 / $556.91 / $646.61
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$539.50 / $560.05 / $646.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $3,475.00 / $6,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$499.98 / $640.71 / $1,076.28