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Kansas rates for HCPCS 57300

Closure of rectovaginal fistula; vaginal or transanal approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,700.00 / $4,919.00 / $12,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$594.75 / $594.75 / $886.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,164.98 / $1,367.15 / $8,303.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$910.68 / $1,071.39 / $1,071.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$545.07 / $915.61 / $1,204.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$594.75 / $941.62 / $6,496.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$581.69 / $699.64 / $4,558.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,436.00 / $3,096.00 / $5,565.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$574.19 / $652.54 / $1,164.74