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Maine rates for HCPCS 57300

Closure of rectovaginal fistula; vaginal or transanal approach

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $707.95 / $1,380.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $831.76 / $1,174.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $794.33 / $1,380.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $851.14 / $1,230.27
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $645.65 / $1,513.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $812.83 / $1,348.96