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Missouri rates for HCPCS 57300

Closure of rectovaginal fistula; vaginal or transanal approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.00 / $4,261.00 / $8,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$469.87 / $582.61 / $709.55
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,247.00 / $9,663.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$539.00 / $694.95 / $1,071.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$504.98 / $827.28 / $1,364.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$536.58 / $1,063.64 / $20,502.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.60 / $921.50 / $4,558.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,644.00 / $2,833.00 / $5,620.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$561.91 / $808.20 / $1,284.15