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New Hampshire rates for HCPCS 57300

Closure of rectovaginal fistula; vaginal or transanal approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $1,942.22 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$552.29 / $592.41 / $1,199.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,449.90 / $1,611.00 / $3,700.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$649.64 / $1,027.64 / $1,510.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$781.44 / $1,287.84 / $1,861.49
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$683.57 / $1,356.07 / $2,251.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,565.00 / $9,565.00 / $9,565.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$710.40 / $973.40 / $1,797.68
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$466.20 / $512.82 / $652.67