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North Carolina rates for HCPCS 57300

Closure of rectovaginal fistula; vaginal or transanal approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$605.27 / $5,994.00 / $7,968.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$552.29 / $605.27 / $971.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$678.89 / $931.62 / $1,396.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$573.37 / $901.85 / $1,539.40
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$605.27 / $720.19 / $1,491.16
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$688.46 / $688.46 / $1,490.08
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $853.20 / $1,583.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,526.00 / $7,659.00 / $10,502.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$518.85 / $726.39 / $1,673.68
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,398.94 / $9,496.40 / $26,542.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,407.12 / $4,407.12 / $5,190.22