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Utah rates for HCPCS 57310

Closure of urethrovaginal fistula;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.71 / $4,387.00 / $8,133.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$580.11 / $602.71 / $862.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$582.70 / $680.18 / $1,068.73
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.98 / $352.44 / $475.62
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,230.43 / $14,327.60 / $20,879.41
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$647.51 / $802.38 / $948.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $7,693.00 / $13,847.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$449.14 / $532.00 / $1,027.60