go back

North Carolina rates for HCPCS 57330

Closure of vesicovaginal fistula; transvesical and vaginal approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$753.74 / $1,149.75 / $7,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$632.54 / $753.74 / $1,285.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$819.00 / $1,329.25 / $1,878.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.36 / $1,204.75 / $1,993.35
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$753.74 / $991.37 / $1,906.89
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$991.37 / $991.37 / $1,872.93
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $1,190.00 / $1,929.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,366.00 / $9,541.00 / $14,589.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$709.96 / $1,041.06 / $2,109.19
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $4,952.50 / $16,298.90
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,806.93 / $5,806.93 / $6,396.83