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Arkansas rates for HCPCS 57300

Closure of rectovaginal fistula; vaginal or transanal approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$647.92 / $1,397.00 / $4,478.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.59 / $645.95 / $701.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,875.60 / $2,875.60 / $3,450.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$597.14 / $790.34 / $790.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,558.75 / $3,558.75 / $3,558.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$633.84 / $961.37 / $1,275.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$980.00 / $1,770.88 / $4,064.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$494.83 / $633.79 / $1,152.70