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Illinois rates for HCPCS 57310

Closure of urethrovaginal fistula;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$711.00 / $1,848.00 / $5,393.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$419.87 / $477.16 / $865.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,259.97 / $9,162.48 / $13,283.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$589.27 / $792.47 / $944.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$709.00 / $709.00 / $735.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$458.47 / $699.81 / $1,003.59
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$522.64 / $807.86 / $2,020.97
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
$589.49 / $617.66 / $673.89
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $777.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,300.00 / $6,359.00 / $12,442.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.93 / $645.62 / $1,249.02