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Virginia rates for HCPCS 57311

Closure of urethrovaginal fistula; with bulbocavernosus transplant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$605.07 / $5,412.00 / $11,024.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.23 / $605.07 / $732.35
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,671.00 / $14,495.61 / $20,189.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$514.77 / $658.28 / $902.83
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$622.14 / $783.36 / $1,222.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$527.63 / $715.09 / $1,350.73
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$531.35 / $637.62 / $786.40
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$514.30 / $728.59 / $989.64
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$657.00 / $757.00 / $1,288.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$437.85 / $672.04 / $2,617.58
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.22 / $690.86 / $5,122.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,303.00 / $9,373.00 / $17,192.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$448.36 / $675.96 / $1,186.26