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Pennsylvania rates for HCPCS 46280

Surgical treatment of anal fistula (fistulectomy/fistulotomy); transsphincteric, suprasphincteric, extrasphincteric or multiple, including placement of seton, when performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $6,025.60 / $8,912.51
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,456.54 / $7,585.78 / $57,543.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $1,995.26 / $3,981.07
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $1,096.48 / $1,096.48
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $6,918.31 / $10,715.19
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $5,248.07 / $8,709.64
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $575.44 / $1,000.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $478.63 / $575.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $2,951.21 / $8,317.64