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Utah rates for HCPCS 57330

Closure of vesicovaginal fistula; transvesical and vaginal approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$968.31 / $3,038.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$895.73 / $968.31 / $1,342.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$906.64 / $1,071.06 / $2,194.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.79 / $522.68 / $725.46
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,230.43 / $14,327.60 / $20,879.41
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,001.28 / $1,297.29 / $2,032.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $6,097.00 / $8,267.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$721.71 / $866.85 / $1,574.64