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Alaska rates for HCPCS 57305

Closure of rectovaginal fistula; abdominal approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,862.24 / $9,813.00 / $14,552.94
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,187.60 / $4,614.89 / $6,599.29
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,187.60 / $4,614.89 / $6,599.29