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Minnesota rates for HCPCS 57311

Closure of urethrovaginal fistula; with bulbocavernosus transplant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$508.08 / $508.08 / $6,575.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.08 / $546.92 / $676.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,316.96 / $5,330.47 / $11,558.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$938.94 / $1,453.65 / $2,039.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,360.26 / $1,929.01 / $4,640.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,101.28 / $1,859.81 / $2,642.11
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,105.79 / $1,763.58 / $3,653.94
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$969.57 / $1,659.22 / $2,198.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.20 / $1,063.39 / $5,499.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$730.42 / $1,419.90 / $3,053.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,293.00 / $6,652.00 / $9,810.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$730.59 / $1,419.90 / $2,298.76