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Pennsylvania rates for HCPCS 57310

Closure Urethrovaginal Fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$768.00 / $3,745.00 / $8,017.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$395.82 / $452.51 / $602.07
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,639.91 / $11,851.00 / $28,970.26
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$492.67 / $511.26 / $1,090.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$464.78 / $625.57 / $935.13
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$578.97 / $766.20 / $774.31
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.00 / $3,964.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.65 / $487.37 / $2,543.63
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $550.50 / $1,255.90
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$468.13 / $626.85 / $986.27
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$459.90 / $480.99 / $480.99
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$459.90 / $480.99 / $506.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,468.00 / $6,885.00 / $23,801.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$448.73 / $603.38 / $1,028.83