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Georgia rates for HCPCS 57311

Closure of urethrovaginal fistula; with bulbocavernosus transplant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$878.34 / $5,045.00 / $6,915.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$448.83 / $599.04 / $1,505.27
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,406.20 / $5,523.39 / $14,965.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$552.41 / $779.97 / $1,446.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$550.00 / $550.00 / $550.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.55 / $909.49 / $1,545.13
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.54 / $710.50 / $2,091.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,519.00 / $6,351.00 / $8,836.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$542.29 / $749.18 / $1,239.39