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Missouri rates for HCPCS 57310

Closure Urethrovaginal Fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,400.00 / $4,261.00 / $8,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.15 / $466.57 / $529.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,247.00 / $9,663.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$468.12 / $571.71 / $921.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.71 / $704.38 / $1,197.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$434.74 / $861.59 / $5,504.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.55 / $744.08 / $5,058.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,285.00 / $4,000.00 / $11,564.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$481.96 / $657.36 / $1,248.71