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Wisconsin rates for HCPCS 57310

Closure of urethrovaginal fistula;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $1,023.29 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $489.78 / $1,230.27
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,022.64 / $16,982.44 / $28,840.32
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $954.99 / $2,238.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $1,513.56 / $2,398.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,513.56 / $1,698.24
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $3,981.07 / $7,413.10
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,230.27 / $1,513.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $7,585.78 / $15,848.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $812.83 / $5,011.87
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $616.60
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $1,122.02 / $1,584.89
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,022.64 / $17,782.79 / $17,782.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $2,570.40 / $5,011.87
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,230.27 / $1,230.27
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $2,630.27 / $2,691.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,585.78 / $12,302.69 / $16,595.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $758.58 / $2,041.74