go back

Tennessee rates for HCPCS 57300

Closure of rectovaginal fistula; vaginal or transanal approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$893.00 / $2,678.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$511.34 / $676.11 / $967.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,132.00 / $3,728.00 / $5,959.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$551.40 / $718.34 / $1,215.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$565.61 / $807.24 / $1,241.70
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,398.94 / $9,496.40 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,407.12 / $4,558.56 / $5,190.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,367.00 / $3,612.00 / $6,285.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.79 / $800.71 / $1,218.15