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Texas rates for HCPCS 57320

Closure of vesicovaginal fistula; vaginal approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $3,630.78 / $12,022.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $602.56 / $977.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $6,760.83 / $13,182.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $645.65 / $870.96
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $6,456.54 / $6,456.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $3,162.28 / $3,162.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $724.44 / $1,174.90
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $12,589.25
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,248.07 / $5,248.07 / $5,248.07
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $933.25 / $4,677.35
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $676.08 / $912.01
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $446.68
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $1,023.29 / $1,445.44
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $691.83 / $1,318.26
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $724.44 / $1,174.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $5,248.07 / $10,964.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $602.56 / $933.25
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $524.81 / $524.81