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Utah rates for HCPCS 57320

Closure Vesicovaginal Fistula Vaginal Approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$698.11 / $4,387.00 / $8,133.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$661.03 / $698.11 / $985.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$665.56 / $784.27 / $1,623.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.98 / $400.96 / $538.82
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,294.75 / $9,430.81 / $13,743.39
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$743.67 / $921.41 / $1,468.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $6,097.00 / $8,267.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$518.84 / $625.77 / $1,141.20