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New Mexico rates for HCPCS 57311

Closure of urethrovaginal fistula; with bulbocavernosus transplant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$548.82 / $7,838.38 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$519.79 / $543.82 / $909.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$492.34 / $807.31 / $992.39
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $160.30 / $861.44
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$504.71 / $643.16 / $796.49
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$605.94 / $790.35 / $992.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,602.00 / $9,127.00 / $10,150.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$661.00 / $828.25 / $1,198.43