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Washington, DC rates for HCPCS 57330

Closure of vesicovaginal fistula; transvesical and vaginal approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $2,137.96 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $776.25 / $2,290.87
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $4,677.35 / $9,120.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,023.29 / $1,949.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $758.58 / $1,737.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $16,218.10 / $36,307.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $912.01 / $1,905.46