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Indiana rates for HCPCS 57311

Closure of urethrovaginal fistula; with bulbocavernosus transplant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$547.91 / $1,386.00 / $14,063.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$480.07 / $547.91 / $652.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,091.00 / $15,450.00 / $23,392.06
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.88 / $623.61 / $879.22
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$517.95 / $660.13 / $761.69
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$507.79 / $609.35 / $761.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$528.96 / $693.71 / $1,168.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,932.00 / $8,025.00 / $11,038.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$499.66 / $652.15 / $1,053.44