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Maine rates for HCPCS 57300

Clsr Rectovaginal Fistula Vaginal/Transanal Appr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,762.04 / $16,762.04 / $16,762.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$552.29 / $597.96 / $971.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$649.64 / $797.10 / $1,179.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$591.50 / $875.03 / $1,339.41
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$683.57 / $880.38 / $1,350.56
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$552.29 / $597.96 / $1,137.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$557.45 / $807.98 / $1,230.94