go back

Maine rates for HCPCS 57310

Closure Urethrovaginal Fistula

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.58 / $489.58 / $513.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$534.92 / $643.38 / $946.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$528.41 / $708.55 / $1,073.13
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$551.75 / $710.61 / $1,090.10
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.58 / $489.58 / $513.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$471.88 / $672.38 / $993.62