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South Carolina rates for HCPCS 57300

Closure of rectovaginal fistula; vaginal or transanal approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $8,709.64 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $616.60 / $1,202.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $7,585.78 / $14,125.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $758.58 / $1,071.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $2,137.96 / $2,754.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $724.44 / $1,288.25
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $776.25 / $1,318.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,754.23 / $11,220.18 / $16,982.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $645.65 / $1,148.15