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Pennsylvania rates for HCPCS 57300

Closure of rectovaginal fistula; vaginal or transanal approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$768.00 / $3,838.00 / $8,104.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.59 / $553.87 / $971.04
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,431.95 / $7,827.00 / $19,139.18
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$608.42 / $631.39 / $631.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.12 / $746.19 / $1,169.89
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$726.63 / $966.34 / $966.34
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,357.35 / $6,357.35 / $6,715.99
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.00 / $3,964.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$518.86 / $606.50 / $1,692.36
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $647.29 / $1,583.00
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$569.60 / $752.08 / $1,246.86
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$599.85 / $599.85 / $607.11
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$582.35 / $601.89 / $635.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,334.00 / $2,824.00 / $5,678.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$527.78 / $717.10 / $1,179.83