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Wyoming rates for HCPCS 57330

Closure of vesicovaginal fistula; transvesical and vaginal approach

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$774.50 / $774.50 / $774.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,432.00 / $1,718.00 / $2,576.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.93 / $1,293.36 / $1,749.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,200.00 / $4,200.00 / $14,634.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,147.30 / $1,843.44 / $2,869.69