go back

Missouri rates for HCPCS 57311

Closure of urethrovaginal fistula; with bulbocavernosus transplant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,547.00 / $5,389.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$423.78 / $525.78 / $599.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,224.00 / $4,490.00 / $10,961.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$532.78 / $653.47 / $1,042.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$468.55 / $793.56 / $1,370.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.64 / $985.50 / $3,700.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$551.70 / $842.85 / $7,983.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,748.00 / $3,502.00 / $6,854.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$517.74 / $730.42 / $1,314.50