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Pennsylvania rates for HCPCS 46285

Surgical treatment of anal fistula (fistulectomy/fistulotomy); second stage

Facilitymedian $2,455 · 10th–90th $562$7,7620%5%10th90th$2,455$500.0$1.0K$2.0K$5.0K$10.0K$20.0K$50.0K

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
$562.34 / $2,454.71 / $7,762.47
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,456.54 / $6,606.93 / $57,543.99
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$346.74 / $1,318.26 / $3,890.45
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$977.24 / $977.24 / $977.24
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,584.89 / $2,454.71 / $2,570.40
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,548.13 / $5,888.44 / $12,589.25
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$537.03 / $1,778.28 / $7,079.46
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$371.54 / $371.54 / $371.54
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$309.03 / $407.38 / $549.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$933.25 / $3,311.31 / $8,912.51