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North Dakota rates for HCPCS 57300

Closure of rectovaginal fistula; vaginal or transanal approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.19 / $588.19 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$552.29 / $571.80 / $967.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,187.65 / $1,307.02 / $1,565.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$750.98 / $1,437.70 / $1,856.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.19 / $859.82 / $1,764.57
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$609.62 / $1,079.03 / $1,523.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$615.33 / $1,108.40 / $1,523.43