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Florida rates for HCPCS 57330

Closure of vesicovaginal fistula; transvesical and vaginal approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$661.82 / $5,839.00 / $11,576.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$622.89 / $661.82 / $879.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.00 / $400.00 / $10,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$651.27 / $991.62 / $1,544.38
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,979.00 / $12,759.00 / $23,031.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$528.37 / $566.11 / $995.74
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.08 / $664.85 / $1,003.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,637.00 / $8,136.00 / $12,748.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$612.73 / $895.82 / $1,564.73
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$564.99 / $564.99 / $564.99