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Montana 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 / $1,513.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46,773.51 / $81,283.05 / $95,499.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $977.24 / $977.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $977.24 / $977.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $933.25 / $977.24
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $1,071.52 / $1,202.26
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,071.52 / $1,202.26
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $812.83 / $977.24
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $588.84 / $1,288.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $954.99 / $1,479.11