go back

Alaska rates for HCPCS 57330

Closure of vesicovaginal fistula; transvesical and vaginal approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,272.69 / $10,900.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,664.34 / $3,664.34 / $4,805.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,599.48 / $2,599.48 / $2,599.48
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$961.27 / $3,664.34 / $5,240.01
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,867.20 / $4,848.89 / $6,304.55
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,886.25 / $3,348.05 / $4,714.60
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$961.27 / $3,664.34 / $5,240.01
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,026.95 / $3,280.50 / $4,821.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,955.52 / $3,119.37 / $4,702.89