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Tennessee rates for HCPCS 57310

Closure Urethrovaginal Fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$893.00 / $2,678.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.43 / $559.87 / $647.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,367.00 / $5,486.00 / $9,283.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.22 / $609.61 / $990.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$460.92 / $653.48 / $1,037.03
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $17,704.40 / $17,704.40
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,058.97 / $5,058.97 / $5,058.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,799.00 / $5,728.00 / $10,111.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$449.91 / $655.67 / $1,002.15