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Arizona rates for HCPCS 57300

Closure of rectovaginal fistula; vaginal or transanal approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,965.00 / $3,758.00 / $7,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$536.58 / $562.96 / $1,041.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$672.35 / $2,515.38 / $4,140.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.23 / $700.31 / $875.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,084.43 / $3,084.43 / $3,084.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$480.86 / $681.54 / $1,250.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$536.58 / $770.27 / $3,787.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$488.60 / $656.12 / $4,558.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,343.00 / $3,339.00 / $5,838.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$486.02 / $615.98 / $1,207.31