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Indiana rates for HCPCS 57330

Closure of vesicovaginal fistula; transvesical and vaginal approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $2,344.23 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $758.58 / $1,380.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,982.44 / $40,738.03 / $57,543.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $933.25 / $1,513.56
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $776.25 / $870.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $1,230.27 / $1,548.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $977.24 / $1,862.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $7,762.47 / $10,964.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $851.14 / $1,412.54