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Utah rates for HCPCS 57310

Closure of urethrovaginal fistula;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $5,888.44 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $478.63 / $870.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $630.96 / $1,071.52
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $891.25
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,220.18 / $13,182.57 / $29,512.09
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $831.76 / $977.24
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $776.25 / $1,000.00
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $758.58 / $1,096.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $5,128.61 / $13,803.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $549.54 / $1,000.00