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New Jersey rates for HCPCS 57300

Closure of rectovaginal fistula; vaginal or transanal approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$522.53 / $5,845.00 / $10,692.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$499.58 / $553.87 / $1,038.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$555.80 / $837.41 / $1,634.46
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$713.69 / $960.57 / $1,140.25
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,238.19 / $6,238.19 / $14,742.01
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$486.94 / $624.42 / $1,157.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,415.00 / $7,250.00 / $10,536.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$556.91 / $783.01 / $1,353.58