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Kentucky rates for HCPCS 57300

Closure of rectovaginal fistula; vaginal or transanal approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$529.04 / $637.00 / $8,229.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$516.70 / $581.38 / $626.22
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,643.00 / $3,498.00 / $8,517.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$444.98 / $539.22 / $820.24
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.09 / $784.15 / $904.57
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$644.13 / $784.15 / $1,120.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$531.91 / $694.82 / $694.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$563.11 / $729.19 / $1,134.94
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$599.00 / $2,723.00 / $6,295.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$477.99 / $788.90 / $1,137.95