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West Virginia rates for HCPCS 57330

Closure of vesicovaginal fistula; transvesical and vaginal approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$710.00 / $710.00 / $1,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$615.99 / $710.00 / $848.02
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$814.06 / $900.82 / $981.45
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$872.40 / $872.40 / $872.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$873.30 / $873.30 / $873.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$749.12 / $1,045.81 / $4,456.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$612.55 / $875.73 / $1,290.82