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Washington, DC rates for HCPCS 57311

Closure of urethrovaginal fistula; with bulbocavernosus transplant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,017.00 / $5,076.00 / $6,945.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$462.34 / $462.34 / $462.34
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.23 / $626.69 / $2,500.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$516.16 / $721.61 / $1,428.56
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$576.89 / $1,267.79 / $1,267.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,648.00 / $3,378.00 / $26,408.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$510.16 / $1,130.98 / $1,471.46