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New York rates for HCPCS 57310

Closure of urethrovaginal fistula;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $4,265.80 / $10,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $537.03 / $1,412.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $11,220.18 / $19,054.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $478.63 / $1,202.26
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $691.83 / $8,912.51
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $691.83 / $691.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $831.76 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $812.83 / $2,238.72
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $741.31 / $1,737.80
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $630.96 / $912.01
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $645.65 / $1,047.13
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,022.64 / $12,022.64 / $12,022.64
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $645.65 / $1,047.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $5,888.44 / $14,791.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $645.65 / $1,230.27
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $562.34 / $1,445.44
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $602.56 / $1,412.54