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Rhode Island rates for HCPCS 57330

Closure of vesicovaginal fistula; transvesical and vaginal approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,706.14 / $3,706.14 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$742.43 / $752.75 / $1,042.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$807.76 / $950.31 / $1,444.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.00 / $1,084.74 / $1,563.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,146.00 / $4,086.00 / $9,622.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$761.39 / $1,084.04 / $1,564.26