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Maine rates for HCPCS 57311

Closure of urethrovaginal fistula; with bulbocavernosus transplant

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.82 / $553.82 / $583.75
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,268.63 / $22,395.57 / $25,253.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$608.25 / $730.62 / $1,065.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$595.65 / $798.35 / $1,207.58
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$621.36 / $800.26 / $1,227.65
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.82 / $553.82 / $583.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$534.73 / $757.24 / $1,117.23