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North Carolina rates for HCPCS 57310

Closure of urethrovaginal fistula;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $1,659.59 / $8,709.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $537.03 / $1,230.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $676.08 / $1,230.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $724.44 / $1,174.90
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $616.60 / $1,000.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $741.31 / $1,258.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,370.32 / $12,302.69 / $19,054.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $602.56 / $1,096.48
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $17,782.79 / $17,782.79
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,011.87 / $5,011.87 / $5,011.87