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Rhode Island rates for HCPCS 57311

Closure of urethrovaginal fistula; with bulbocavernosus transplant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,993.72 / $3,706.14 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$535.99 / $538.01 / $741.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$587.91 / $691.66 / $1,023.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.00 / $725.72 / $1,122.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,146.00 / $4,086.00 / $9,622.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$502.70 / $778.05 / $1,138.38