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Tennessee rates for HCPCS 57320

Closure of vesicovaginal fistula; vaginal approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$893.00 / $2,678.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.13 / $649.34 / $910.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,367.00 / $4,564.00 / $7,782.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$527.91 / $695.54 / $1,129.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$528.66 / $747.62 / $1,195.24
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $12,623.50 / $12,623.50
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,263.72 / $5,263.72 / $5,263.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,259.00 / $4,567.00 / $7,669.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$517.76 / $773.48 / $1,150.08