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Ohio rates for HCPCS 57311

Closure of urethrovaginal fistula; with bulbocavernosus transplant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$801.21 / $5,217.00 / $11,627.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$538.80 / $538.80 / $1,437.41
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,426.00 / $12,098.50 / $21,233.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$410.48 / $568.14 / $947.93
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.34 / $629.21 / $778.78
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$527.29 / $576.77 / $576.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.65 / $734.08 / $1,090.10
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.34 / $736.86 / $1,090.10
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.93 / $529.33 / $774.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,840.00 / $5,998.00 / $7,847.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.93 / $692.54 / $1,131.76