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Arizona rates for HCPCS 57330

Closure of vesicovaginal fistula; transvesical and vaginal approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,671.00 / $3,617.00 / $6,329.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$674.05 / $740.05 / $3,996.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$672.35 / $2,515.38 / $4,140.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$658.53 / $878.04 / $1,097.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$681.34 / $932.36 / $1,641.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$732.67 / $1,004.33 / $6,117.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$678.40 / $866.85 / $5,806.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $4,545.00 / $7,217.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$673.94 / $819.58 / $1,494.19