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Alaska rates for HCPCS 57311

Closure of urethrovaginal fistula; with bulbocavernosus transplant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,236.00 / $9,774.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,633.24 / $2,633.24 / $3,380.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,846.68 / $1,846.68 / $1,846.68
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$690.57 / $2,633.24 / $3,765.53
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,356.93 / $3,523.80 / $4,533.88
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,097.50 / $2,433.10 / $3,341.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$690.57 / $2,633.24 / $3,765.53
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$732.93 / $2,352.00 / $3,440.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,438.46 / $2,216.01 / $3,308.46