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Nebraska rates for HCPCS 57310

Closure Urethrovaginal Fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,382.00 / $8,477.27 / $19,276.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.19 / $457.19 / $2,543.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,990.74 / $13,540.02 / $25,418.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$443.56 / $756.09 / $1,008.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$924.36 / $1,148.72 / $1,438.77
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.72 / $868.66 / $10,946.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$606.72 / $1,100.04 / $5,058.97
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$924.36 / $1,229.36 / $6,152.06
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$714.92 / $1,084.41 / $1,438.77
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $673.80 / $1,255.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,178.00 / $8,816.00 / $10,946.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$643.50 / $1,071.15 / $1,254.81