go back

Hawaii rates for HCPCS 57311

Closure of urethrovaginal fistula; with bulbocavernosus transplant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,924.00 / $5,484.00 / $6,718.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$535.99 / $543.82 / $543.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.03 / $700.44 / $700.44
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$736.19 / $847.06 / $8,902.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.39 / $672.42 / $784.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $2,155.00 / $2,155.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$571.55 / $700.44 / $876.89
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.27 / $503.09 / $820.33