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Maine rates for HCPCS 57330

Closure of vesicovaginal fistula; transvesical and vaginal approach

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$771.44 / $771.44 / $819.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$852.26 / $1,012.90 / $1,463.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$890.07 / $1,099.67 / $1,660.28
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$855.02 / $1,101.20 / $1,689.30
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$771.44 / $771.44 / $819.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$805.67 / $1,101.20 / $1,531.59