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Utah rates for HCPCS 46280

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

Facilitymedian $4,571 · 10th–90th $2,884–$8,5110%10%10th90th$4,571Professionalmedian $708 · 10th–90th $468–$1,0470%20%10th90th$708$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,884.03 / $4,570.88 / $8,511.38
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,890.45 / $5,370.32 / $8,128.31
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $707.95 / $1,047.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$870.96 / $5,128.61 / $7,079.46