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Missouri rates for HCPCS 57330

Closure of vesicovaginal fistula; transvesical and vaginal approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$920.05 / $4,470.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$583.97 / $724.95 / $832.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,247.00 / $9,663.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$748.00 / $945.71 / $1,467.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$657.54 / $1,093.55 / $1,952.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$521.19 / $1,138.74 / $4,952.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$777.91 / $1,185.53 / $5,806.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,748.00 / $3,502.00 / $6,854.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$777.91 / $996.90 / $1,855.00