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Tennessee rates for HCPCS 57310

Closure of urethrovaginal fistula;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $2,454.71 / $6,456.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $537.03 / $870.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $6,456.54 / $9,772.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $707.95 / $1,122.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $4,073.80 / $4,073.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $630.96 / $1,023.29
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $17,782.79 / $17,782.79
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,011.87 / $5,011.87 / $5,011.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $5,754.40 / $10,232.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $616.60 / $1,000.00