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New Mexico rates for HCPCS 57300

Closure of rectovaginal fistula; vaginal or transanal approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $7,838.38 / $8,763.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$552.29 / $575.35 / $999.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,565.77 / $11,904.68 / $19,087.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$470.29 / $910.94 / $1,056.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$545.07 / $815.61 / $1,106.16
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $177.27 / $947.31
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$502.07 / $707.69 / $772.48
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$625.29 / $815.98 / $1,106.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,834.00 / $6,599.00 / $7,158.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$642.16 / $852.50 / $1,320.87