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Arizona rates for HCPCS 57311

Closure of urethrovaginal fistula; with bulbocavernosus transplant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,965.00 / $4,474.00 / $7,960.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.64 / $536.73 / $2,874.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,763.75 / $6,598.50 / $10,860.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.75 / $638.34 / $797.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$492.34 / $646.54 / $1,170.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$519.02 / $700.19 / $5,740.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$486.07 / $608.12 / $7,983.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $4,545.00 / $7,217.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.64 / $595.83 / $1,131.76