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Illinois rates for HCPCS 57310

Closure of urethrovaginal fistula;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $2,344.23 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $537.03 / $1,071.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.88 / $10,000.00 / $12,882.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $794.33 / $933.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $691.83 / $1,000.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $794.33 / $2,041.74
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $616.60 / $676.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $6,165.95 / $12,302.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $616.60 / $1,023.29