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Rhode Island rates for HCPCS 57300

Closure of rectovaginal fistula; vaginal or transanal approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $3,235.94 / $3,981.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $707.95 / $1,513.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $645.65 / $1,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $724.44 / $1,258.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $4,677.35 / $7,585.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $758.58 / $1,258.93