go back

New York rates for HCPCS 57311

Closure of urethrovaginal fistula; with bulbocavernosus transplant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.25 / $4,648.00 / $10,526.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$483.55 / $655.90 / $1,076.58
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,100.00 / $7,264.00 / $12,697.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$427.39 / $558.69 / $1,288.98
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$782.58 / $782.58 / $37,499.62
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$782.58 / $782.58 / $782.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$632.14 / $632.14 / $7,227.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$521.63 / $901.89 / $1,949.15
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.00 / $848.00 / $1,433.32
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$647.53 / $777.18 / $1,133.34
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$417.82 / $639.83 / $1,024.34
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $632.14 / $7,227.90
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$555.63 / $976.91 / $2,729.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,264.00 / $5,735.00 / $11,176.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$548.39 / $742.67 / $1,398.41
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$639.83 / $639.83 / $1,644.92
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$417.82 / $678.97 / $1,182.58