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Idaho rates for HCPCS 57300

Clsr Rectovaginal Fistula Vaginal/Transanal Appr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,897.00 / $4,500.00 / $7,761.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$552.29 / $721.72 / $1,065.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$840.44 / $1,003.28 / $1,148.58
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$658.86 / $965.16 / $1,129.34
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$985.25 / $985.25 / $1,194.24
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $955.47 / $1,064.66
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,781.66 / $7,272.33 / $9,472.49
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$948.83 / $948.83 / $1,145.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,550.00 / $12,152.00 / $12,233.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$609.52 / $747.04 / $1,153.61