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West Virginia rates for HCPCS 57311

Closure of urethrovaginal fistula; with bulbocavernosus transplant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$511.34 / $511.34 / $2,300.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.19 / $511.34 / $605.07
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.33 / $649.21 / $707.33
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$628.74 / $628.74 / $628.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$632.14 / $632.14 / $632.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$544.64 / $733.52 / $3,073.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.24 / $627.10 / $950.06