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Arkansas rates for HCPCS 57310

Closure Urethrovaginal Fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.63 / $1,397.00 / $4,478.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.41 / $543.61 / $666.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,043.52 / $7,043.52 / $8,452.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$500.30 / $662.17 / $662.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,539.88 / $4,539.88 / $4,539.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$559.77 / $743.92 / $838.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,565.00 / $3,772.00 / $11,858.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$434.80 / $514.84 / $934.81