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New Mexico rates for HCPCS 57330

Closure of vesicovaginal fistula; transvesical and vaginal approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$755.79 / $7,838.38 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$713.97 / $760.49 / $1,257.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$678.23 / $1,125.11 / $1,377.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $221.35 / $1,191.63
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.42 / $965.26 / $1,151.59
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$854.52 / $1,114.58 / $1,377.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,602.00 / $9,127.00 / $10,150.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$943.20 / $1,173.76 / $1,686.65