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Louisiana rates for HCPCS 57330

Closure of vesicovaginal fistula; transvesical and vaginal approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $2,562.00 / $4,050.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$635.61 / $933.77 / $1,134.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,547.51 / $8,293.98 / $15,887.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$983.57 / $1,027.39 / $1,293.20
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$721.52 / $913.98 / $1,449.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$882.00 / $3,238.00 / $8,257.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$694.54 / $1,002.22 / $1,587.76