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Florida rates for HCPCS 57300

Closure of rectovaginal fistula; vaginal or transanal approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$621.00 / $5,071.00 / $11,576.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.44 / $502.08 / $778.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$494.00 / $1,668.84 / $1,986.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$500.19 / $752.41 / $1,156.45
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,169.00 / $8,416.00 / $15,897.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$404.86 / $453.21 / $797.16
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.51 / $523.88 / $824.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,681.00 / $5,811.00 / $10,057.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$464.66 / $698.38 / $1,231.76
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$471.33 / $471.33 / $471.33