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Idaho rates for HCPCS 57330

Closure of vesicovaginal fistula; transvesical and vaginal approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $5,519.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$892.64 / $895.73 / $1,342.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,075.43 / $1,316.47 / $1,469.76
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.14 / $1,307.45 / $1,583.48
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,232.34 / $1,307.04 / $1,493.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,076.46 / $1,354.26
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,306.08 / $18,816.75 / $23,096.74
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,176.96 / $1,176.96 / $1,444.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,360.00 / $16,762.00 / $17,870.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$782.64 / $984.15 / $1,547.97