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Minnesota rates for HCPCS 57300

Closure of rectovaginal fistula; vaginal or transanal approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $562.34 / $5,011.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $645.65 / $1,023.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,388.44 / $7,413.10 / $14,454.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,380.38 / $2,238.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $2,238.72 / $5,370.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,905.46 / $2,818.38
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $2,137.96 / $4,168.69
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,584.89 / $2,398.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $1,230.27 / $7,762.47
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $1,202.26 / $3,311.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $5,248.07 / $8,912.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $1,202.26 / $2,398.83