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Michigan rates for HCPCS 57310

Closure Urethrovaginal Fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$577.99 / $4,112.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.65 / $577.99 / $602.07
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,088.31 / $7,106.89 / $9,681.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.14 / $463.74 / $964.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.97 / $518.98 / $1,015.34
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$462.40 / $4,112.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$462.40 / $531.76 / $752.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.66 / $419.39 / $629.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,390.47 / $9,536.98 / $14,871.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$514.00 / $626.90 / $780.78