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Virginia rates for HCPCS 57320

Closure Vesicovaginal Fistula Vaginal Approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$608.72 / $5,087.00 / $8,920.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$463.63 / $608.72 / $739.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,153.00 / $7,363.00 / $9,410.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.22 / $671.64 / $921.15
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$635.41 / $823.88 / $9,211.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$539.76 / $738.38 / $1,364.29
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$535.69 / $642.83 / $792.82
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$527.79 / $747.06 / $1,028.74
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$663.00 / $761.00 / $1,301.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$556.16 / $723.84 / $5,122.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$556.16 / $723.84 / $5,122.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,303.00 / $9,373.00 / $17,192.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$452.86 / $697.31 / $1,206.08