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Nebraska rates for HCPCS 57330

Closure of vesicovaginal fistula; transvesical and vaginal approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,241.22 / $10,431.19 / $20,928.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$709.07 / $709.07 / $3,996.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,990.74 / $13,540.02 / $25,418.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$686.52 / $1,170.23 / $1,560.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,430.65 / $1,777.89 / $2,294.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$755.61 / $1,347.23 / $10,946.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$959.15 / $1,753.91 / $5,806.93
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,293.00 / $1,680.48 / $2,359.94
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,158.30 / $1,680.48 / $2,294.01
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
$5,341.00 / $7,441.00 / $8,816.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,017.28 / $1,693.34 / $1,831.53