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Maryland rates for HCPCS 57310

Closure Urethrovaginal Fistula

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.65 / $414.72 / $2,543.63
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$517.78 / $553.90 / $637.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,291.48 / $3,291.48 / $3,291.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$445.52 / $612.48 / $1,257.75
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.00 / $680.96 / $1,089.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$419.52 / $573.66 / $966.72
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.46 / $588.79 / $731.13