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Tennessee rates for HCPCS 57330

Closure of vesicovaginal fistula; transvesical and vaginal approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,539.83 / $2,678.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$652.47 / $877.21 / $1,014.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,367.00 / $5,486.00 / $9,272.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$725.53 / $962.03 / $1,551.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$717.09 / $1,049.39 / $1,691.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $16,298.90 / $16,298.90
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,806.93 / $5,806.93 / $6,396.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,259.00 / $4,567.00 / $7,669.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$721.31 / $1,046.39 / $1,568.93