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Alaska rates for HCPCS 57300

Closure of rectovaginal fistula; vaginal or transanal approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,741.00 / $10,480.00 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,041.76 / $2,849.83 / $3,503.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,959.84 / $1,959.84 / $1,959.84
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$739.33 / $2,849.83 / $4,075.26
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,492.80 / $3,876.60 / $4,886.51
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,307.50 / $2,676.70 / $3,535.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$739.33 / $2,849.83 / $4,075.26
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$782.80 / $2,557.50 / $3,675.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,490.76 / $1,580.07 / $3,428.75