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Virginia rates for HCPCS 57300

Closure of rectovaginal fistula; vaginal or transanal approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$644.67 / $4,390.00 / $8,920.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$518.86 / $644.67 / $967.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,060.00 / $3,693.00 / $4,290.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$570.09 / $729.02 / $999.85
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$693.94 / $902.68 / $5,895.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$550.70 / $747.47 / $1,465.30
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$581.29 / $697.56 / $860.32
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$569.20 / $756.86 / $1,089.51
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$666.00 / $799.00 / $1,362.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$574.00 / $752.15 / $3,512.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$574.00 / $752.15 / $3,512.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,349.00 / $7,061.00 / $12,739.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$486.38 / $729.94 / $1,282.83