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California rates for HCPCS 57330

Closure of vesicovaginal fistula; transvesical and vaginal approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$760.49 / $9,639.00 / $20,509.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$678.64 / $760.49 / $3,996.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,537.00 / $10,000.00 / $20,418.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$946.55 / $1,239.08 / $2,372.04
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $11,729.10
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$538.16 / $830.83 / $2,035.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$731.51 / $959.27 / $2,906.66
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$648.07 / $868.29 / $1,041.95
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$772.25 / $998.53 / $1,762.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $4,952.50 / $16,298.90
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,806.93 / $5,806.93 / $6,396.83
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$787.70 / $1,020.91 / $1,510.34
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$731.90 / $984.83 / $2,164.09
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,479.51 / $2,479.51 / $2,479.51
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$648.07 / $907.30 / $1,101.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,116.00 / $9,810.00 / $22,073.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.49 / $874.80 / $2,451.34