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Hawaii rates for HCPCS 57300

Closure of rectovaginal fistula; vaginal or transanal approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,324.03 / $2,747.00 / $4,456.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$552.29 / $552.30 / $971.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$561.61 / $768.76 / $768.76
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$822.35 / $946.19 / $8,902.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.51 / $738.01 / $861.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,981.00 / $1,981.00 / $1,981.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$627.30 / $768.76 / $951.32
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$561.96 / $2,582.96 / $6,124.00