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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
$870.96 / $1,548.82 / $8,709.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $660.69 / $1,513.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,548.13 / $12,589.25 / $19,952.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $741.31 / $954.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $812.83 / $1,174.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $891.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $776.25 / $1,288.25
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $812.83 / $1,174.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $6,606.93 / $14,125.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $812.83 / $1,318.26