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Idaho rates for HCPCS 57311

Closure of urethrovaginal fistula; with bulbocavernosus transplant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,422.00 / $4,500.00 / $8,622.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$648.41 / $653.09 / $972.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$775.66 / $949.51 / $1,060.07
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$637.03 / $926.65 / $1,121.01
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$895.57 / $947.85 / $1,085.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $881.79 / $982.57
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$856.76 / $856.76 / $1,046.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,360.00 / $16,762.00 / $17,870.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$533.12 / $694.80 / $1,081.92